Low back pain is a prevalent condition with a significant impact on health and economy.
Its effective management is crucial for improving individuals’ quality of life and reducing the economic burden on healthcare systems. Unfortunately, the general population often holds inaccurate beliefs about low back pain, which can lead to inappropriate treatments and chronicity of pain. Therefore, it is essential to combat the misconceptions and expectations surrounding this condition.
A 2021 study by Hall et al. highlighted the notable “knowledge gap” among the general population regarding the understanding of low back pain. Among 428 participants who responded to the survey, 90% reported experiencing back pain at some point. The average score on the Back Pain Beliefs Questionnaire was 27.3, indicating that many people perceive back pain as having inevitable negative consequences.
Prevalence of Misconceptions
A large percentage of respondents held the following beliefs, which contradict the best available scientific evidence we have today:
- Having back pain means you will always have weakness in your back (49.3%)
- It will get progressively worse (48%)
- Resting is good (41.4%)
- X-rays and scans are necessary to get the best medical care for LBP (54.2%)
What Does the Scientific Evidence Say?
- Low back pain is usually temporary and responds to treatment.
- Exercise and strengthening muscles that support the back are beneficial for pain relief and prevention.
- Excessive rest can be maladaptive, while movement is beneficial.
- X-rays are rarely indicated, only in cases with clear clinical indications, such as to rule out serious pathologies. There is no evidence to support that getting X-rays leads to better outcomes for patients.
A thorough understanding of low back pain is essential for its effective management. This is important not only for reducing the economic burden on public health but also for improving individuals’ quality of life.
References:
- Hall A, Coombs D, Richmond H, et al. What do the general public believe about the causes, prognosis, and best management strategies for low back pain? A cross-sectional study. BMC Public Health. 2021;21(1):682. Published 2021 Apr 8. doi:10.1186/s12889-021-10664-5
- Lateef H, Patel D. What is the role of imaging in acute low back pain?. Curr Rev Musculoskelet Med. 2009;2(2):69-73. doi:10.1007/s12178-008-9037-0
- O’Sullivan PB, Caneiro JP, O’Sullivan K, et al. Back to basics: 10 facts every person should know about back pain. Br J Sports Med. 2020;54(12):698-699. doi:10.1136/bjsports-2019-101611
