Why is the biopsychosocial (BPS) model the missing link to long-lasting injury recovery?

The biopsychosocial model (BPS) provides you with a sustainable solution to managing pain and injury. As the name suggest there are three components of the biopsychosocial model:

  • Biological
  • Psychological
  • Social

These three components are part of Evercore’s approach to managing pain and injury.

If one part is missing, then it becomes more challenging to reduce pain and recover from injuries.


We use the biopsychosocial model because the most current research shows that pain is influenced by biological, psychological, and social factors.

The current healthcare system is failing to provide people with long-term solutions to reduce pain, in part, because the BPS model is not the standard of practice for injury management.

At Evercore, we implement the BPS model into our post-rehab programs. We are confident in our approach because we feel your pain, understand your struggles, and we want the best for you.

What is the biopsychosocial model?

The BPS model is a framework to explain why you experience pain. It consists of three main “influencers” of your pain:


The biological component of your pain are related to a traumatic injury to your tendons, ligaments, muscles, or bones. The underlying sources of pain may be due to damaged nerves, muscle weakness, stiffness in your joints, or poor training programs.

Vitruvian human or man as a concept or conceptual 3d proportion anatomy body isolated on background


The psychological component of your pain is related to your emotional and mental states. For example, anxiety, stress, and frustration can increase your perception of pain. In addition, your attitudes and beliefs about pain play a huge role in your pain experience.



The social component of your pain is related to your environmental conditions. For example, you may sit at work all day and feel too tired to go to the gym.

Your health may be neglected because you are going through a divorce or busy running your business.

young beautiful business woman suffering stress working at office computer desk feeling tired and desperate looking overworked overwhelmed and frustrated in mess chaos situation

All three components influence your perception of pain. The BPS model describes pain as an experience rather than a feeling. The experience of pain involves all aspects of your mind and body. Therefore, pain can affect every part of your life.

Why is the BPS the missing link in our healthcare system?

A flaw in our current healthcare system is an overemphasize on the biological aspects of pain. Currently, medical providers focus too much on the biological aspect of pain and not enough on the psychological or social aspects.

For example, a person may visit their doctor due to lower back pain. Their doctor may order an X-ray and the X-ray may show severe arthritis. Their doctor may explain to them that their arthritis is the cause of their pain.

The may use words like, “bone on bone arthritis”, “degeneration”, or “wear and tear.” These words are shown by research to have a negative impact on people’s perceptions of pain in addition to creating a belief that their body is fragile and broken.

spine and pelvis of a human body on x-ray : show 2 different view

In reality, an abundance of research studies shows that arthritis is not linked to pain in a meaningful way. Statistically, the research shows that the presence of arthritis is a mere coincidence rather than the cause of the pain.

These studies are difficult to accept for both medical providers and people in pain because arthritis on an X-ray would be a simple way to explain pain. However, pain is more complex than we could have ever imagined.

Each year, it seems like more studies confirm the complexity of pain. Perhaps, this complexity is one of the reasons why pain is an epidemic running wild in the United States.

Currently, pain affects more Americans than diabetes, heart disease and cancer combined. There is a high likelihood that you or someone you love is struggling with persistent pain.

How do we incorporate the BPS model into our post-rehab programs?

It all starts with our intense motivation to help you succeed. Like you, we were also frustrated with pain and injuries because we have seen people fall through the cracks of the current healthcare system.

We developed our post-rehab program to provide you with another option to recover from persistent pain and nagging injuries.

After you join our program, we’ll develop a detailed action plan to manage the three “influencers” of your pain. We will focus most of our efforts on the influencer contributing to your pain the most.

For example, the biological aspects of your pain - like muscle weakness - may account for 70% of your pain. The psychological component may represent 20% and the social component may represent 10%.

In this example, your program would focus more on the strength training aspects of your pain and injury. There will be an emphasis on strength training for most programs; however, the focus of each program will be proportionate to the percentage each “influencer” is contributing to your pain.

In other words, we want to focus on the aspects of your recovery that will provide you with the most benefits to spare you from setbacks and frustrations.

How can the BPS model help you?

Up to this point, we have described how the BPS is missing link in the healthcare system. But, how can the BPS model of pain help you?

If you have been to your doctor or seen a physical therapist, there is a high probability they did not implement the BPS model of pain with you.

It’s unfortunate you did not learn about this model of pain sooner, but now you know about it!

This is great news!

The BPS will reframe your entire concept of pain and provide you with a new opportunity to reduce persistent pain and recover from nagging injuries.

For example, our modern understanding of pain recognizes that pain is not directly caused from tissue damage. Previously, if you partially tore your tendon, your doctor and physical therapist would identify the torn tendon as the primary source of your pain.

Two attractive fitness girls doing push ups in gym

However, research shows that all pain is interpreted by your brain.

“Are you saying that pain in is my head and not real?!”

We are saying that your pain is very real and related to more factors than previously known by your doctor or physical therapist. Receptors in your body send messages to your spinal cord and brain. Your brain interprets these messages as pain based on the three components of the biopsychosocial model.

Biological, psychological, and social factors can increase or decrease your perceptions of pain. These factors can be controlled similar to regulating the thermostat in the living room by changing your entire understanding and concept of pain.

We can teach your brain to reinterpret movements and activities that were previously painful as pleasant experiences.

If we create enough pleasant experiences, we will establish new pathways in your brain to help you restore your body back to its pre-injury status.

fitness, sport, people and lifestyle concept - group of women exercising with dumbbells in gym

Now, is the time to build a strong and confident body.

“Don’t be afraid to start over. This time you’re not starting

from scratch, you’re starting from experience.” 

Lewis Howes

Negative experiences in the past have reinforced negative pain pathways in your pain. It’s challenging to break these pathways, but it is possible through practice and repetition.

Our post-rehab program is designed to retrain your brain to interpret pain differently. In addition, your body will adapt through the progressive strength training component of our program.

If you are in acute pain, then contact your doctor for medical treatment. If you have been through the healthcare system and still have pain, then fill out the free preliminary questionnaire below to learn how we can help you feel fully satisfied with your recovery.

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