Management of Chronic Lower Back Pain

MANAGEMENT OF
CHRONIC LOWER
BACK PAIN

INTRODUCTION
Background :
• Both male and female equally suffer from low back
pain accounting to 80% of adults.
• People with chronic low back pain tend to develop
chronic pain that may last for 12 weeks or more.
• Acute low back may cause spondylosis in older people
and is mechanical in nature or it may be associated
with underlying causes such infections and
inflammatory disease of the joints.
• Risk factors include age, genetics, physical activity,
weight gain and overload of backpack in children.
• Chronic low back pain can be managed by
conventional methods and recent best practice methods
(Ninds.nih.gov, 2020).
Fig 1: low back pain in
the lumbar region

Literature Review
• Searle et al., (2015) determined exercise
interventions are better for treating low back pain
compared to other interventions.
• Wells et al., (2014) conducted a survey of
Australian physical therapist to examine if Pilates
exercise was effective in treating chronic low back
pain.
• Glazov et al., (2016) determined that laser
acupuncture was beneficial for patients with
chronic low back pain.
Fig 2: exercise intervention
for low back pain
Fig 3: laser acupuncture

Literature review
• Upon assessing the efficacy of osteopathic
manipulation, Franke, Franke & Fryer, (2014)
found that it was helpful in managing low back
pain.
• de Luca et al., (2017) reviewed manual therapy
was safe and the effective while reducing chronic
low back pain and disability in older person
whereas Kamper et al., (2015) assessed and
confirmed that the long term effect of
multidisciplinary biopsychosocial rehabilitation
reduced pain and disability more effectively than
primary care.
Fig 4: Manual therapy
Fig 5: osteopathic
manipulative treatment