Low back pain: The affliction most Kiwis will experience
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Low back pain – one of the most common things we see as a GP. 80% of all people worldwide will experience low back pain at some point!
- It affects 80% of population at some point in their lives.
- It’s the leading cause of disability and time off work – it cost ACC $4 billion over last 11 years!
- Most episodes are not serious and resolve over about six weeks.
- The risk increases with age.
What are the common causes of low back pain?
- Muscle or ligament strain form lifting, bending, twisting, overuse, or falls
- Poor posture, sitting, lack of exercise.
- Age related ‘degeneration’ – arthritis of the low back.
- Stress and anxiety can cause muscle tension which increases pain in the back.
What are warning signs that low back pain is more serious?
- Weakness in the leg or numbness in the leg that is worsening.
- Severe pain following a fall.
- Loss of bladder control or numbness in the groin.
- Constant pain that become more severe and not improving, or associated with fever/temperature.
- Your GP may order further investigations.
If we have low back pain or strain, how do we treat it?
- Most cases don’t need an x-ray and will resolve in few weeks.
- Keep moving, don’t stay in bed, move as much as possible!
- Pain relief: paracetamol, anti-inflammatory medication, if safe, such as ibuprofen, or medication to stop back muscle spasms.
- Gentle stretching exercises and physio can help.
- Long term prevention: regular exercise, weight loss.
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