Lower back pain is a prevalent issue that affects a large portion of the global population. It is more common in girls and women, as well as in older individuals. The condition can lead to disability and is often associated with socioeconomic factors, such as poverty due to inability to work.
Cases of low back pain have been on the rise, with one in 13 people experiencing it in 2020, a 60% increase over the past 30 years. The aging population in developing countries is expected to contribute to the growing problem of low back pain. Chronic low back pain can have severe consequences, impacting individuals' daily activities, relationships, and financial status.
The World Health Organization has developed guidelines for the non-surgical management of chronic back pain in adults. The main recommendations include mobility assistive products, structured exercise, needling, and messages. Paracetamol is found to be no more effective than a placebo, while lumbar braces and supports are not recommended.
Despite the prevalence of chronic back pain, not all individuals with the condition are disabled. Managing chronic back pain requires a multi-modal approach, as one-off treatments often do not provide long-term relief. Health workers play a crucial role in properly assessing and understanding patients' experiences with chronic back pain.
Managing expectations is key in treating chronic back pain, as individuals may experience fluctuations in pain levels. Techniques such as pacing out activities and building up tolerance slowly can help individuals manage their pain effectively. While relief and a return to activities are possible for many individuals with chronic back pain, it is important to maintain realistic expectations.
Overall, addressing the growing issue of chronic back pain requires a comprehensive approach that takes into account the individual circumstances of each patient. By focusing on effective management strategies and realistic expectations, individuals with chronic back pain can improve their quality of life and overall well-being.