Psychosomatic Aspects of Low Back Pain

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Abstract
The psychosomatic aspects of low back pain have been emphasized by the frequency of backache among soldiers during the last world war and the high incidences of rheumatism and back disorders of a psychogenic origin during that period. The literature dealing with the subject is reviewed. On the basis of this review and personal experience gained through neuropsychiatric consultation with several hundred soldiers suffering from low back pain, the following categories are suggested: Pain due to muscle tension of conversion origin; pain of conversion origin but with no evidence of muscle tension; pain due to muscle tension of anxiety-tension origin; and combination of 1, 2, or 3 with a trivial, minor, or major injury or disease involving the back.
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