Improvements in clinical pain and experimental pain sensitivity after cognitive functional therapy in patients with severe persistent low back pain Patients receiving CFT showed significant improvements in pain intensity, pain-related disability, pain-related cognitions, emotions, QOL, use of opioids, and PPTs. The CFT pathway produced superior outcomes for pain-related disability and QOL at a much lower cost for patients with severe disabling pLBP compared with an MPM pathway. Although we are cautious not to over interpret this case–control data, fully powered RCTs investigating these results in this setting is warranted, as there is an urgent need to identify alternative, clinically and cost-effective interventions to help people manage disabling pLBP.
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