Four out of five adults experience significant low back pain sometime during their lifetime. It is considered one of the most costly health problems affecting industry and society. Back injuries are estimated to account for almost 20 percent of all injuries and illnesses in the workplace. Widely used strategies to prevent low back pain include fitness exercises, education on back mechanics and lifting techniques, and lumbar supports (typically, a lightweight, elastic belt worn around the lower back to provide additional support). However, the effectiveness of these measures is still unknown.
It is no wonder that researchers are trying to find effective ways to prevent recurrent low back pain, according to an article in the June 9, 1998, issue of The Journal of the American Medical Association (page 1789). Researchers in the Netherlands studying airline cargo workers confirmed that prevention education programs that attempt to reduce recurring low back pain often are not successful. The study showed no significant differences in back pain occurrence or in sick leave among those who received lifting instructions and lumbar supports to wear while lifting heavy objects at work, those who received lifting instructions only, those who received lumbar supports only, and those who received nothing.
Part of the reason for these results may be the challenge in getting participants to comply with wearing the lumbar supports (only 43 percent compliance in this study) or to use the proper lifting techniques at all times, note the researchers. The study did not evaluate the use of lumbar supports for treating pain.
Low back pain can be caused by a number of factors, including injuries and the effects of aging. Most cases of low back pain are not considered serious and should respond to simple treatment by your doctor. Consult your doctor for a specific diagnosis.
Most low back pain often can be treated without surgery. The most common reason for surgery is to remove pressure from a slipped disk, which causes nerve and leg pain.