Low back pain is estimated to affect more than 540 million people worldwide, research published in The Lancet medical journal indicates that an over-reliance on opioid painkillers, surgery, and scans, has led to treatment of back pain too often being ineffective.

The research paper, Prevention and treatment of low back pain: evidence, challenges, and promising directions, calls for more research into back pain and treatment, identifying a global gap between evidence and practice across the health care system.

Chiropractors welcomed the research, which again points to the importance of expanding research into effective treatments for back pain.



Spokesman for the Victorian Branch of the Chiropractors Association of Australia, Dr Anthony Coxon said the research was the latest in a range of papers which identified the need to improve health care approaches for people with back pain.

"Back pain is a problem which is becoming more prevalent as our society ages.This research follows other papers that have shown that drugs are not an effective solution for people
suffering back pain," Dr Coxon said.

"A range of research has already indicated that spinal manipulation, the treatment provided by chiropractors, provides measurable improvements in back pain relief. Research published in the published in the April 11, 2017 issue of The Journal of the American Medical Association showed that spinal manipulation made a measurable improvement to pain and back function.

"Harvard Health has published advice that chiropractic care is the primary solution to back pain.

Research shows that medicines, such as opiods, typically don't work, and there is a growing problem with opioid addiction. Manual treatment combined with exercise gets better results –
and can help a lot of Australians.

"Many Australians still are not aware of the best way to deal with their back pain simply because they have not heard of chiropractic care."

The Lancet paper, published last week, also cited a 2010 study Low back pain and best practice care. A survey of general practice physicians that found that GPs provided advice on how to
manage low back pain at only 21% of consultations where the issue was raised.

The research published in The Lancet calls for urgent research to clearly identify effective treatments for back pain and identifies potential in new solutions that integrate a range of health

"Chiropractors are keen to collaborate with other health professionals to improve the range of treatments available for back pain."

1. Back pain tends to be episodic – with the pain coming and going.
2. Need to think about lifestyle changes to reduce risk of back pain
3. Paracetamol tends to be ineffective, if you need assistance see a back professional

http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(18)30489- 6.pdf
http://www.abc.net.au/news/2018-03- 22/back-pain- is-being- mismanaged-health- experts-warn/9570188
https://www.painnewsnetwork.org/stories/2018/3/21/study-finds- most-treatments- for-low- back-pain- ineffective

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