Cognitive Behavioural Therapy (CBT) can help in the management of pain from the physical and the cognitive realms, whether anxiety or depression are involved or not. CBT helps through the interconnectedness of our thoughts, feelings, physical sensations and actions that underpin behaviour (1).

Pain is defined as a sensory-emotional experience (2) combining the physical with the non physical realms of experience.

The NHS definition of Generalised Anxiety Disorder (GAD) interconnects pain that began in the cognitive and settles in both the physical and the psychological realms (3). The physical corollary to anxiety is muscular tension. 

Depression is a condition associated with back pain. A current bout of depression is a predictor of future back pain episodes (4) and having previously had depression means that a current episode of back pain is more intense than with no previous depression. Even if you have forgotten about your previous depression. Furthermore repeated bouts of back pain can lead to depression (5).

Pain severity is not relative to body damage.

Think about how you can’t feel radiation damage..!

In Psychiatry physical joint pains can be classified as a brief somatic disorder (6) meaning physical pains can exist as a result of what started in the brain. Whether your pain begins in the physical or the cognitive realm your muscle aches and joint pains can be successfully helped at Fascia First Chiropractic.

Book while you Twinge.




(1) http://www.nhs-uk/conditions/cognitive-behavioural-therapy-cbt/


(3) http://www.nhs-uk/conditions/generalised-anxiety-disorder/symptoms

(4) Hauser W, Schmutzer G, Brahler E, Shiltenwolf M and Hilbert A. The Impact of Body Weight and Depression on Low Back Pain. Pain Med (2014) 15(8) 1316

(5) Campbell P, Hope K and Dunn K. The Pain, depression, disability pathway in those with low back pain J Pain Res (2017) 10 2331

(6) General Chiropractic Council. The Code (2016). Glossary

%d bloggers like this: