Words Matter- choosing words wisely with back pain: how to help and not harm

Many of the theories utilised in manual/musculoskeletal therapy are underpinned by biomechanical and biomedical assumptions regarding pain and disability, and it can be challenging (and confusing) for practitioners to integrate these models with a contemporary evidence-informed biopsychosocial approach. Drawing upon the latest research from the fields of psychology of back pain, and communication, the lecture will provide an evidence-based strategies utilise contemporary therapeutic approaches to the management of back pain, including, cognitive reassurance and re-framing, communication and development of a strong therapeutic alliance. Strategies for effective and therapeutic communication with patients experiencing back pain will presented, in conjunction with ways to positively re-frame and re-constrict patients’ understanding, beliefs and perceptions of back pain

This lecture will:

· Review the application of the BPS model to the management of low back pain.

· Review theoretical and research literature on psychological factors relevant to back pain (eg fear-avoidance, pain-related fear, catastrophising, self-efficacy, pain beliefs), and how language can influence these.

· Highlight the importance of language when interacting with patients and provide strategies to use purposeful language to frame manual/physical assessment and treatment.

· Critically evaluate how explanations can negatively or positively impact the multidimensional nature of back pain and recovery.

· Introduce strategies to communicate helpful messages regarding low back pain which can contribute to enhanced patient engagement, confidence and recovery..