Is chronic back pain all in the mind?

No one, it seems, is immune from back pain.
It was reported last week that the Queen had to pull out of an investiture ceremony because of the problem.
She has apparently suffered from excruciating back pain for years — in 2006, she was laid up for several weeks with sciatica (pain caused by pressure on the nerve that runs from the lower back down the legs). The miserable fact is that 80 per cent of us will suffer from back pain at some point, and for many it becomes a long-term problem.
Most will see their GP, then take painkillers and anti-inflammatories, and somehow get on with their lives. Some eventually get an X-ray or MRI scan that may confirm structural damage or wear and tear, and surgery may be offered as an option. However, despite huge advances in diagnostics and surgical techniques, many people with back pain are never completely free of pain.
An estimated 1.6 million Britons develop chronic back pain each year and, for around half of them, studies show the pain is disabling.
There is a wide acceptance among pain specialists that when pain drifts from an acute, short-term problem into a chronic one, psychological factors come into play — often making the pain much worse.
In fact, under guidelines from the National Institute for Health and Clinical Excellence (NICE), physiotherapists treating long-term back pain are meant to incorporate some of the principles of cognitive behavioural therapy into their treatment plan, educating patients about the role the mind can play in exacerbating their problem — for instance, using relaxation and breathing exercises.

Source  - Daily Mail