Back Pain Facts

Mar10th 2020

There’s 10 Important Ones That You Need To Know

Written by Pat Stanziano, MPT, Hons BSc Kin

  • Reg. Sport Physiotherapist (Dip SPC, IFSPT)
  • Cert. McKenzie MDT Practitioner (MIC)
  • Cert. Complete Concussion Management Practitioner
  • Cert. Strength and Conditioning Specialist

Unhelpful beliefs about back pain may:

  • lead to behaviours like avoiding various movements, positions, and even activities beneficial to your physical, mental, and social well-being.
  • cause muscle guarding, leading you to be slow and cautious in your movement.
  • lead you to invasive and often unnecessary interventions
  • contribute to a negative mindset that leads to pain vigilance and fear of engaging in valued activities.

Unfortunately, when coupled with a lack of self-efficacy and adaptive skills to effectively self-manage, these unhelpful beliefs can cause stress, anxiety, and depression. Here they are:

Conversely, a positive mindset regarding back pain is associated with lower levels of pain, disability and healthcare seeking. Once red flags and serious pathology are excluded, evidence supports the following ten points:

If you are experiencing back pain, it is important to explore your concerns, fears and beliefs with a therapist who can also coach you to manage your symptoms and confidently engage you to perform variable postures, movements, graded loading, physical activity, healthy living, social and work engagement. This, in turn, builds a positive mindset regarding back pain and helps to reduce distress while building self-efficacy to better self-manage, and enables you to make better-informed decisions about your care.


O’Sullivan PB, Caneiro J, O’Sullivan K, et al. Back to basics: 10 facts every person should know about back pain. British Journal of Sports Medicine, Published Online First: 31 December 2019. 

DISCLAIMER: Pat is a trained practitioner, certified in the McKenzie Method of Mechanical Diagnosis and Therapy (MDT). This is a philosophy of active patient involvement and education that is trusted and used by clinicians and patients all over the world for low back, neck and extremity problems.  A key feature is the initial assessment – a safe and reliable way to reach an accurate diagnosis and then make the appropriate treatment plan.  Furthermore, his qualifications as a strength and conditioning specialist enables him to help you work toward your performance goals. If you have a question for Pat about an injury, feel free to send him and email to If you’re looking to book an appointment with him, or a member of his team, you can give us a call at 905-847-5227 or book online right here.

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