Pain Management for Patients With Low Back Pain and Psychosocial Risk Factors in a Hospital Setting.
Low Back Pain
About this trial
This is an interventional treatment trial for Low Back Pain focused on measuring low back pain, cognitive behavioural therapy, randomised controlled trial
Eligibility Criteria
Inclusion Criteria:
- Non-specifick low back pain lasting ≥ 3 months
- Psychosocial risk profile defined as a fear avoidance score >24 (Örebro Musculoskeletal Pain Questionnaire) and/or a bodily distress score >15 (Common Mental Disorder Questionnaire) and/or health anxiety score >9 (Common Mental Disorder Questionnaire)
- Speaks and understands Danish
- Age ≥ 18 years
Exclusion Criteria:
- Inflammatory or malignant disease
- Spine surgery within the last year
- Untreated or severe depression
- Psychiatric course of treatment within the last year
- Abuse of drugs or alcohol
- Pregnancy
Sites / Locations
- Diagnostic Centre, Regional Hospital Silkeborg
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Usual care
Group based pain management intervention
All patients receive a thorough physical examination by a rheumatologist or a chiropractor with a subsequent examination by a physiotherapist.The patients receive general information about the nature back pain, adjustment of analgesic treatment and clarification of any need of further diagnosing or assessment by a surgeon. The physiotherapist furthermore makes an assessment of the patients' physical capacity and function and provides guidelines for any exercise programme. Based on the physiotherapist's judgement, the patient may be referred to rehabilitation in the local community
In addition to usual care as described for the control group, the patients in the intervention group will participate in a cognitive group-based pain management intervention. The aim of the intervention is to improve the patients' understanding of their back pain problem, and that they learn different pain coping strategies. The intervention is based on cognitive behavioural therapy including elements of acceptance and commitment therapy, and furthermore uses different relaxation and breathing exercises.