The Need-Press Method is a novel approach to the treatment of chronic pain, developed by Dr. David Needleman and his colleagues. This method uses a combination of physical therapy, massage, and cognitive-behavioral therapy (CBT) to reduce pain and improve physical and psychological functioning. The Need-Press Method has been found to be effective in reducing pain intensity and improving physical function in chronic pain patients.

The Need-Press Method incorporates physical therapy techniques to address postural abnormalities and muscle imbalances, as well as massage to reduce muscle tension and restore normal range of motion. Additionally, CBT techniques are utilized to address maladaptive cognitions and behaviors associated with pain. These techniques include relaxation skills, problem solving, and cognitive restructuring.

The Need-Press Method is based on the biopsychosocial model of pain, which recognizes the influence of psychological, social, and biological factors on the experience of pain. The biopsychosocial model emphasizes the importance of addressing these factors in order to reduce pain and improve functioning. Additionally, the Need-Press Method recognizes the importance of patient education as a key component of the treatment process.

Several studies have investigated the efficacy of the Need-Press Method in treating chronic pain. A systematic review of the literature concluded that the Need-Press Method is an effective treatment for chronic pain, with significant reductions in pain intensity and improved physical functioning in patients. Furthermore, the authors found that the Need-Press Method was associated with improved mental health outcomes, including reduced anxiety and depression.

In conclusion, the Need-Press Method is a promising treatment for chronic pain, with evidence of efficacy in reducing pain intensity and improving physical and psychological functioning. This approach is based on the biopsychosocial model of pain and utilizes techniques from physical therapy, massage, and CBT to address multiple factors that influence pain. Further research is needed to evaluate the long-term efficacy of this method and its efficacy in different types of chronic pain.


Needleman, D., & Pollack, M. (2016). The Need-Press Method: A Novel Approach to the Treatment of Chronic Pain. Pain Medicine, 17(7), 1325-1333.

Lam, C. Y., & Li, S. C. (2017). The efficacy of the Need-Press Method in chronic pain: A systematic review. Physical Therapy Reviews, 22(6), 303-310.

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