Dr Bryan Betty: Low Back Pain

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.    LISTEN ABOVE See omnystudio.com/listener for privacy information.