My father had three spine surgeries that failed. Now he’s in terrible pain and very deconditioned. The family wants him to get into some kind of exercise program but his doctor is steering him to a psychologist. Is there any proof that psychologic counseling will help him cope with his situation? Wouldn’t it be better to get him up on his feet and moving?

Actually, it’s likely that he would benefit from a combination of both treatments. Study after study shows that addressing all aspects of the biologic, psychologic, and social factors is very helpful. A psychologist can offer your father better ways to think about his condition and better coping skills. The end result may not be less pain but improved function despite the pain.

A specific type of psychosocial approach often used with chronic pain patients is called cognitive behavioral therapy (CBT). The psychologist using this method will help your father identify ways in which his thoughts and behaviors might make his pain worse. Replacing those with more adaptive coping skills often helps reduce pain and anxiety. Overall, the patient’s quality of life is improved.

At the same time, a program of activity and exercise can help improve fitness and may even reduce pain. Exercise has been shown to increase endorphins in the body. These natural opioid substances reduce pain and enhance a sense of well-being. Exercise improves circulation, which can help tissues heal. And physical fitness is always a good tool against reinjury.

In addition to CBT and exercise, good nutrition is always advised. Getting the right kinds of food in the right amounts helps patients avoid the added stress of being overweight or obese. Exercise combined with good diet and good thinking will result in overall improved health and happiness for many people suffering from chronic pain syndromes.

Encourage your father to seek all avenues of improving his health. Starting with psychologic counseling can’t hurt and may very well help.