Back to basics: 10 facts every person should know about low back pain
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LBP is not a serious life threatening medical condition.
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Most episodes of LBP improve and LBP does not get worse as we age.
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A negative mindset, fear- avoidance behaviour, negative recovery expectations, and poor pain coping behaviours are more strongly associated with persistent pain than is tissue damage.
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Scans do not determine prognosis of the current episode of LBP, the likelihood of future LBP disability, and do not improve LBP clinical outcomes.
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Graduated exercise and movement in all directions is safe and healthy for the spine.
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Spine posture during sitting, standing and lifting does not predict LBP or its persistence.
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A weak core does not cause LBP. Almost any exercise can improve LBP as effective as core training.
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Spine movement and loading is safe and builds structural resilience when it is graded.
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Pain flare-ups are more related to changes in activity, stress and mood rather than structural damage.
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Effective care for LBP is relatively cheap and safe. This includes:
education that is patient-centred and fosters a positive mindset, and coaching people to optimise their physical and mental health. Physiotherapy or medicine can support in the transitional state.
The information is a brief summary only. Consult a physiotherapist for clarification.
10大腰痛真相
1. 腰痛大多不是嚴重、會威脅生命的問題。
2. 腰痛與年齡無關，且症狀大多會隨時間改善。
3. 長期腰痛不見得和組織 受損有關，反而可能和生活習慣、負面想法、消極態度有關係。
4. 影像檢查對於腰痛的病情發現和恢復大多沒有幫助，甚至可能因為心理因素，讓恢復狀況變差。
5. 運動時感到疼痛，不一定代表受傷，但確實表示需要做出調整，適當運動能幫助腰痛恢復得更好。
6. 姿勢是否「標準」與腰痛無關，但坐太久、動得太少一定引發或加劇腰痛。
7. 核心肌群無力不會引致腰痛。雖然核心訓練能治療背痛，但它的效果和其他運動沒有分別。
8. 長期循序漸進的脊椎負重大多是安全的，且對於強化肌群有幫助。
9. 反覆的腰痛通常和活動、壓力或情緒的變化有關，不一定是因為組織受傷。
10. 物理治療、藥物治療僅扮演過渡期的角色，在病人學習主動改變、調整動作模式期間進行輔助、緩解疼痛，而不是要讓患者一直處在被動治療的過渡期狀態中。
上述資訊只作簡單易明的概述。如有疑問請諮詢物理治療師。
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