RinaldiPT - Back Pain NOT necessarily a life sentence

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Long-Term Back Pain Not Inevitable, Study Finds

Chances of recovering from chronic discomfort are better than previously thought, research shows

Once again, I hate to say that I told you all so.

But I did.

Here's new research that's good news for people with chronic low back pain: About four in 10 will recover within a year, according to a study that challenges the common belief that recovery from this type of pain is unlikely.

The Australian study included about 400 patients who sought treatment for acute low back pain at primary care clinics and had not recovered after 90 days. Acute low back pain was defined as pain that had lasted more than 24 hours but less than two weeks.

During telephone surveys nine and 12 months later, the patients were asked about their pain and disability levels and work status. Complete recovery was reported by 35 percent of patients within nine months and by 41 percent within a year, the researchers noted.

The findings show that the rate of recovery from chronic low back pain is higher than previously reported and that the prognosis for these patients isn't uniformly poor, said lead study author at the University of Sydney. These findings should prove reassuring for patients because it shows that it's possible to recover from a new episode of low chronic back pain, the researchers added.

While these findings seem encouraging, much longer follow-up of patients with chronic low back pain is needed in order to learn more about how different patterns emerge and in what order, and why some people recover while others have episodic pain for years or long-term constant pain.

This is consistent with what we found in an audit of our charts from 2002-2006. About 44% of our patients with back or neck pain fully recovered in just under 90 days. This includes patients with sciatica as well.

The real culprits behind low back pain, in our opinion, are recurrence and failure to completely handle the first episode correctly. These two factors are what drive repeated aggravations and relapses that take what was or might have been a controllable injury, and turn it into a chronic problem.

However with proper care, self-management (yes, YOU are responsible for your condition) most back pain does NOT need to become a life sentence.

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