The part of psychology for back issues is real but can be exaggerated.
We see patients with chronic back pain every day. And quite often, they have been told that the pain is “all in their head”. For these patients, it was assumed that mechanical causes have been adequately ruled out.
In reality, the cause might have been missed, or they might have been prescribed the wrong exercises.
Careful consideration of how the spine functions, the loads related to different activities and postures should lead to simple changes that may effectively reduce pain.
We also believe that chronic pain might be the cause of psychological issues. Treating the mechanical cause of pain and reducing symptoms will likely cure the psychological component.