A research project conducted in Japan states that psychosocial components are key to cause disability and end up developing chronic low back pain. To this end, it has been proposed to face this disorder taking into account both the morphological basis as well as biopsychosocial factors.

According to various studies on the scientific evidence about chronic low back pain (CLBP), we can see how important it is to take as our base aspects of both morphology, as well as interventions of a biological, psychological and social factor, or what we could call biopsychosocial approaches.

Some of the psychological and social factors, such as a bad mood or abstinence, fear avoidance behaviour, negative thinking about pain or the expectation of a passive treatment, are considered aggravating circumstances that increase and develop that CLBP.

Many people develop painful backs because of movement flaws. Lifting even extremely heavy loads can be accomplished safely by athletes with perfect form. But movement flaws cause repeated or prolonged loading that is abnormal for the tissue, so it slowly becomes painful. Part of the stabilization approach is to correct the aberrant patterns to metaphorically stop picking the scab. As a result, the tissues become less sensitized, the repertoire of pain-free tasks increases, and motion returns. This is why it is essential to perform therapeutic exercise pain free. The presence of pain also leads to substitution patterns as the spine literally learns to limp.