Have you begun to feel irritated or frustrated with your patients repeated complaints of back pain? Not a single treatment working out… ! And you really could not get the idea of the root cause. Every one of us would have experienced this at least once.
Psychological factors can affect the pain but they rarely seem to be the root cause. Often patient’s sensitivity modulates pain i.e. psychological modulation of pain. There are lots of factors that can vary the patient’s sensitivity: patient’s perception towards pain, hindrances to ADLs or his professional background and domestic problems are some of those. Some studies have found that brain activation due to pain is different in different persons, in some people only few parts or few tracts are activated with pain while in some more parts or tracts are activated.
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