Cognitivebehavioral treatment

CBT in the setting of a return to work program can be effective. In addition, these programs even outside the work-hardening arena are perhaps one of the most useful tools for the spine clinician.133,134135136 [II] Programs can be as short as six educational sessions137[II] or up to two to four weeks in the case of a multidisciplinary pain management program.138[II] The more multidisciplinary the program, the more spine rehabilitation exercise is built into the program as well. Programs can vary considerably with regard to content, but ideally should contain pharmacologic treatment options, education, exercise, a vocational emphasis, and a large component of CBT.20,21

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