A study conducted by BMC Musculoskeletal Disorders (2015) observed the effectiveness of contextual cognitive behavioural therapy (CCBT) vs physiotherapy, over an 18 month period, to patients who were suffering with chronic lower back pain. Participants had been suffering with lower back pain for at least three months and had high levels of psychological distress, and were fear avoidant of everyday activities.
"For some people with chronic low back pain, psychological stress is a major factor, and therefore there is a significant challenge to find effective treatments. This pilot study has shown that combining physical and psychological approaches could be the way forward to treat this common, often disabling condition more effectively" (Dr Stephen Simpson, director of research and programmes at Arthritis Research UK.
Both Psychologist and Physiotherapy professionals also concluded that a combination of both therapies would offer the best outcome, psychotherapy on a one-to-one basis, and physiotherapy in a fitness group exercise setting.