Low Back Pain in Working Age Adults and Older People

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Low back pain is a growing concern around the world, with an estimated 843 million people expected to suffer from the condition by 2050, according to a recent study published in the Lancet Rheumatology by the University of Sydney. This number is an increase of 36 percent from 2020, when 619 million cases of low back pain were reported. Population growth and aging of populations are the main drivers of this rise in cases of low back pain.

The issue is particularly concerning in Australia, where a nearly 50 percent increase in back pain cases by 2050 is projected. It’s also a worldwide issue, with large increases expected in Asia and Africa. Low back pain is the leading global cause of disability, and researchers warn that the growing number of cases could put immense pressure on the healthcare system, leading to a major crisis.

It’s commonly assumed that low back pain predominantly affects adults of working age, however, this isn’t correct. The study revealed that low back pain is more common among older people, with female cases outnumbering male cases. Over one-third of cases are attributed to occupational factors, smoking and being overweight.

Current treatments such as some surgeries and opioids are either ineffective or their effectiveness hasn’t been determined, and the researchers called for a consistent, national approach to managing back pain, backed by research. They also highlighted the potential for complications if the condition isn’t treated properly, such as diabetes, cardiovascular disease, mental health issues and increased disability.

Prof. Manuela Ferreira, from Sydney Musculoskeletal Health and co-author of the study, also emphasized the importance of avoiding using opioids for back pain management in older people due to their negative impact on health and quality of life.

Given the global burden of low back pain and the potential for disastrous healthcare implications, it is clear that a response is needed to ensure quality treatment is available for those who suffer from this condition. To create this response, it is necessary to establish a national, research-backed approach to back pain management. This will be crucial for alleviating the impact of low back pain around the world.

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