A Brief Psychotherapy Course Can Alleviate Back Pain for Three Years

A brief course of a specific type of psychotherapy has proven to be three times more effective in alleviating chronic low back pain than conventional treatments, even after several years.

Cognitive Function Therapy (CFT) offers individuals a customized program designed to help them comprehend and manage pain via movement and lifestyle adaptations. In a 2023 study, researchers reported significant chronic back pain relief lasting at least a year after just eight sessions.

Recent findings revealed that these sessions continue to provide relief even three years later. CFT leads to three times the improvement in pain and associated disability when compared to the conventional care options patients typically receive, such as pain medications, physical therapy, and massage treatments.

“Our findings suggest that for patients with severe impairments, back pain management can yield long-lasting benefits,” notes Jan Hartvigsen from the University of Southern Denmark.

Back pain is among the leading causes of global disability, and existing treatments often only provide mild, temporary relief. In the 2023 trial, Hartvigsen and his team enlisted 492 participants suffering from chronic low back pain, categorized as experiencing at least four points on a pain scale of 0-10.

Among the participants, one-third continued with their usual care regimen. In contrast, the other two-thirds paused standard care to partake in seven CFT sessions over a final 12-week span, concluding with a 26-week session.

During these sessions, specially trained physical therapists examined each participant’s thoughts regarding their posture, pain, emotions, and lifestyle factors. Their goal was to help participants view their pain in a new light. They focused on modifying exercise habits and control strategies, promoting healthier diets, rest techniques, stress management, and workout plans.

“Individuals living with chronic pain often fear using their bodies,” explains Hartvigsen. “It’s not a mental issue; they require support from someone who can build a strong therapeutic bond with them, as their behaviors, beliefs, and nervous systems are very flexible and conditioned to these pain-related behaviors.”

Half of the participants in the CFT group also received biofeedback, a sensor-based approach that enables real-time monitoring of movement patterns to retrain posture and motion.

After one year, pain intensity and disability levels, measured by the Roland Morris Disability Questionnaire, showed substantial improvements—approximately three to four times greater in the CFT group than in those receiving traditional care. Biofeedback enhanced the effectiveness of CFT marginally.

In a follow-up three years later, the Hartvigsen research team gathered updated evaluations from 312 participants evenly split between treatment groups.

The results indicated that those who underwent CFT experienced nearly three times greater improvement in both pain and disability when contrasted with the standard care group. Furthermore, about three times more individuals in the CFT group recorded lower disability ratings, indicating pain did not severely hinder their functionality.

However, all participants were permitted to pursue additional care after the initial unmonitored year.