Review examines mind-body therapies' effects on chronic lower back pain management, suggesting improvements over opioid treatments.
In this review, we aim to determine whether mind-body therapies—defined here as mindfulness meditation, cognitive behavioral therapy (CBT), and mindfulness-based stress reduction (MBSR)—can effectively improve pain management in adults with chronic lower back pain, particularly when compared to standard opioid treatments alone or used in conjunction with them. Our hypothesis posits that mind-body therapies serve as valuable supplements to current opioid-based treatment plans, potentially improving not only pain outcomes but also overall quality of life and psychological well-being. By synthesizing findings from randomized controlled trials (RCTs) and meta-analyses, this review builds on existing literature by narrowing the treatment scope and focusing specifically on adults with chronic lower back pain. We focus on studies that utilize mindfulness meditation, CBT, and their combination in treatment plans. By examining studies involving populations with a history of opioid prescriptions, we aim to explore how supplementing mind-body therapies may impact patient outcomes, while also addressing current limitations in data availability and consistency regarding opioid use. Ultimately, this review seeks to provide evidence-based recommendations for integrating these therapies into clinical practice, contributing to a more holistic and sustainable approach to chronic pain management that addresses both physical and psychological dimensions of patient well-being.
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Sharma et al. (2025) studied this question.
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