Edited sentence: Although not recognized by conventional medical practices, Sarno's approach to the problem of chronic leg, back and/or arm pain is Psychiatric in nature.His treatment approach is holistically based and includes physical therapy, psychotherapy and psycho-education of the patient; mostly in regards to how unpleasant emotive states can be indirectly expressed as pain and tension in the body.Sarno has also taken much effort in reassuring patients from their fears of invasive surgery by debunking the popular medical myth that so-called "structural abnormalities" are the sole cause of back pain