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Crossfire

What should someone change first when persistent pain has taken over daily life?

What the experts say

Rachel ZoffnessPhD · pain psychologist, pain scientist, author, and educator

Map biological, psychological, and social ingredients, then choose one changeable part of the Pain Recipe.

What it rests onHer public framework treats pain as real and multi-causal, with several possible points of intervention.

Source: zoffness.com ↗
Peter O'SullivanPhD · specialist musculoskeletal physiotherapist and professor

For disabling chronic low back pain, identify the person's barriers, beliefs, feared movements, and goals, then use guided exposure and lifestyle coaching.

What it rests onCFT is a clinician-delivered, person-centred approach originally developed and tested for chronic low back pain.

Source: iasp-pain.org ↗

Overview

Zoffness speaks across pain conditions. O'Sullivan's strongest intervention evidence is for chronic disabling low back pain after serious pathology has been excluded.

Where they agree

Pain is real, individual context matters, passive treatment alone is often insufficient, and an active plan should be tied to the person's goals.

What would settle it

Comparative trials that identify which components help which pain conditions and which patients.

Practice does not pick a winner here

You do, and your call is dated, kept, and yours to change. Follow the people you already trust and what they publish turns into a short daily practice.

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