Development of an Effective Client-Practitioner Therapeutic Alliance in the Management of Low Back Pain

ABSTRACT Low back pain (LBP) is a significant problem in industrialized society with a considerable economic impact. There are many treatment approaches for LBP; however, many are expensive and possess questionable efficacy. An often-overlooked aspect of care for individuals with LBP is establishment of a positive therapeutic alliance. The therapeutic alliance essentially describes the relationship between the patient or client and practitioner that embodies trust, empathy, and mutual respect. Evidence suggests that when a positive therapeutic alliance exists, outcomes are improved. Unfortunately, practitioners are rarely instructed in how to specifically develop a positive therapeutic alliance. This article intends to highlight the overarching elements of establishing a therapeutic alliance for LBP management.