Back To Movement Podcast

What Actually Works for Chronic Low Back Pain: Insights from the Largest 2025 Study


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Episode Overview

In this episode, I sit down with Dr. Hazel Jenkins, lead author of a landmark 2025 systematic review evaluating long-term outcomes of non-surgical treatments for chronic low back pain. With 75 clinical trials and 15,000+ participants, this is the largest and most comprehensive analysis ever done in this field.

We break down what the evidence actually shows — including which treatments provide only short-term relief and which ones lead to meaningful, lasting improvements at 1–2 years.

If you’ve been living with persistent back pain, feeling confused or discouraged by conflicting advice, this episode will bring clarity, direction, and science-backed hope.

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What We Discuss

  • Why chronic low back pain is rarely just a “physical problem”
  • What the biggest study ever done on back pain actually found
  • Why beliefs, fear, and mood influence pain more than people realize
  • Which treatments help short-term vs. long-term
  • Why combining exercise + psychological strategies is most effective
  • How CBT and mindfulness support pain recovery
  • Why pain doesn’t always equal damage
  • Why your back is stronger and more resilient than you think
  • The realistic timeline for long-term improvement
  • What small daily actions can significantly change your outcome

Key Takeaways

  • Chronic back pain is influenced by physical, psychological, and social factors
  • The strongest long-term results come from multimodal treatment
  • Exercise is one of the most effective long-term strategies
  • Beliefs and mindset shape pain perception
  • Education reduces fear and builds confidence
  • Small improvements matter — they compound over time
  • Your back is adaptable, resilient, and designed to move

About Today’s Guest

Dr. Hazel Jenkins is a researcher at Macquarie University specializing in chronic pain, behavioral health, and exercise science. Her 2025 systematic review provides some of the strongest evidence on long-term outcomes for chronic low back pain.

Chapters

00:00 Introduction

06:53 Psychological Factors & Pain

12:28 Long-Term Treatment Insights

19:20 Mindset and Pain Perception

27:18 Common Myths About Back Pain

34:46 Exercise & Back Pain

38:33 How to Interpret Pain Research

46:59 Hope in Chronic Pain Recovery

52:32 Evidence-Based Treatments

Resources Mentioned

• 2025 Systematic Review on Chronic Low Back Pain • Cognitive Behavioral Therapy (CBT) for Pain • Mindfulness-Based Stress Reduction (MBSR) • WHO Physical Activity Guidelines

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Back To Movement PodcastBy Bernadett Gazsi