No Brain - No Pain og kroniske ryggsmerter

Peter O'Sullivan har skrevet et innlegg "Time to put away the magic bullet theory of back pain – Peter O’Sullivan talks…" på siden BodyInMind. I seg selv, etter min mening, et fantastisk innlegg, men jeg ønsker å fremheve et svar han har på en kommentar under artikkelen. Her svarer O'Sullivan på en kommentar som stiller seg kritisk til den bio-psyko-sosiale tilnærmingen til kroniske ryggsmerter.

Så under følger svaret, og jeg avslutter bare med - Amen. :)

If you don’t want to deal with the head – and you work with people in chronic pain – you have a problem. All of these disorders have a major impact to the person which involves the head – and as Lorimer has stated you don’t have pain without a brain.

Pathoanatomy as a basis for understanding NSCLBP has consistently come up as a limited and potentially negative approach for viewing NSCLBP. Watch out for recent research conducted by Briggs et al, (soon to be released in ‘Pain’). Interestingly in this study, people with a patho-anatomical belief of their back pain were more disabled than those without – even though their pain levels were similar.

Separating the mind and body doesn’t help people with pain understand or deal with their problem. Rather, reinforcing patho-anatomical beliefs in many of our patients in my view has done untold harm to them.

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