Is Chronic Low Back Pain Without Actual Tissue Injury Possible?
Low back pain is a very common condition, experienced by almost everybody at some time during their lives. Current research shows that most back injuries will gradually heal and that we will feel better in 6-8 weeks. The recommendation is to gently keep moving around and just modify activities as needed due to pain. Low back pain is never an enjoyable experience, however most people can look forward to a resolution of the pain.
Unfortunately for some people, low back pain persists long after the actual initial injury has healed. Some people even develop low back pain for no reason at all. Low back pain is a very complex phenomenon that we are only just starting to understand with scientific research. It is likely that we will never fully understand the whole story, because everybody is different and everybody’s pain is different. It is reassuring to know that on the whole we can recover from low back pain, the route we take however may be a little different to what we previously would have expected. Biological tissues usually take most of the blame in classical medicine. However, with the more recent research it is becoming obvious that:
It is possible to have low back pain without having an issue in the low back tissues
So what else could be contributing to a person experiencing low back pain? If you have a look at the top part of the Pain Loops poster it becomes obvious that:
It is the BRAIN that decides whether pain is experienced
Many factors input into the brain that influence its decision as to whether it needs to protect the person with pain or not. It’s complex, but there is light at the end of the tunnel!
Blog by Physiotherapist,