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). Deciding if something is in my head or is a physical problem is no longer important to receive the right Care for muscle and joint pain.

Medicine accepts that musculoskeletal aches, pains, stiffness and more severe pains in the body are a combination of Brain and Body neurology. Pain is defined as a sensory-emotional experience (2) combining the physical with the non physical. 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).

Depression is a condition that associates psychological and physical symptoms, for example, current depression can be seen as a predictor of future back pain episodes (4) and having previously had depression can mean that a current experience of back pain could be more disabling, even if you have forgotten about your previous depression.

Pain that begins in the physical can settle in both the physical and the psychological realms because repeated bouts of back pain can lead to depression (5). Therefore pain severity is not relative to findings on imaging, some people with severe pain have ideal x-rays or MR images and those with no pain can have awful imaging results.

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 addressed at Fascia First Chiropractic. Book your appointment today.



(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



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