Back pain is one of the most common health problems in the world â but also one of the most mysterious. Scans donât always match symptoms, treatments donât always provide relief, and many people feel stuck with ongoing discomfort.
In this episode, I explore chronic, non-specific low back pain through a biopsychosocial lens. Basically, weâre looking beyond just the spine to understand how biology, psychology, and environment all shape the way pain is experienced.
Youâll hear about:
- What makes non-specific low back pain so puzzling
- How pain perception actually works (pain â tissue damage)
- Why the biopsychosocial model is key to understanding pain
- The role of self-regulation in shaping pain responses
- What research says about meditation for back pain
- How to reframe back pain when you feel like youâre hitting a wall
- Journal prompts to reflect on your own experience
By the end, youâll have a new way to think about back pain, one that expands the options for healing beyond the body alone.
- Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129â136. (Origin of the biopsychosocial model)
- Study on self-regulation and pain: Wager, T. D., et al. (2013). An fMRI-based neurologic signature of physical pain. New England Journal of Medicine, 368(15), 1388â1397. (and related follow-up studies on cognitive self-regulation impacting autonomic markers â you summarised one in your notes)
- Systematic review on meditation and back pain: Cramer, H., et al. (2022). Meditation for adults with non-specific low back pain: a systematic review and meta-analysis. (Included 8 RCTs, ~1,234 participants, moderate-certainty evidence of small benefits for disability and long-term pain