Alliance Chiropractic and Wellness

Chronic Low Back Pain Management: WHO’s Latest Guidelines

An Ai image showing a professional setting where a chiropractor would perform a non-surgical intervention for a patient with chronic low back pain. The scene symbolizes a holistic approach to pain management, emphasizing education, exercise, and therapeutic support in a calm, reassuring environment

Understanding Chronic Low Back Pain

In 2020, approximately 1 in 13 people globally experienced low back pain, representing a 60% increase from 1990. Chronic Low Back Pain (CLBP) is defined as pain lasting for longer than three months not due to an underlying disease or condition, and accounts for a significant proportion of low back pain complaints in primary care settings. Given its prevalence and the impact on patients’ daily activities and overall quality of life, the World Health Organization (WHO) recently released guidelines for managing CLBP in adults, emphasizing non-surgical interventions to significantly improve health outcomes.

WHO's Evidence-Based Recommendations

The WHO guidelines offer hope for those struggling with CLBP, advocating for non-surgical interventions impacting the physical, psychological, and social factors affecting their pain experience. These recommendations are designed to be implemented in primary and community care settings, and focus on improving well-being and managing pain effectively.

The Role of Education

Education Programs and Self-Care

Educational programs play a pivotal role in chronic low back pain management, and equip patients with the knowledge they need to correctly, safely, and effectively undertake self-care strategies.

Exercise Programs to Alleviate Pain

Exercise is a cornerstone of LBP management, with tailored programs helping to improve physical function and reduce pain levels.

Embracing Physical and Psychological Therapies

A healthy Body Mass Index (BMI), blood pressure, and resting heart rate are key indicators of your physical health. Regular monitoring and dietary and/or exercise adjustments can help ensure your levels remain within optimal ranges, and help contribute to your healthy living and longevity goals.

The Benefit of Physical Therapies

Physical therapies, including spinal manipulative therapy and massage, offer tangible relief for chronic LBP sufferers, highlighting the value of hands-on treatment approaches.

Psychological Support Through Therapy

Cognitive Behavioral Therapy and other psychological interventions address the mental and emotional challenges associated with chronic pain, offering strategies for coping and resilience.

Medicinal Interventions: A Cautious Approach

The guidelines recommend a cautious approach to medicinal interventions, particularly the use of opioids, due to risks of dependence and overdose. Non-steroidal anti-inflammatory medicines are mentioned as a safer alternative for pain management.

 

Alliance Chiropractic's Commitment to Your Health

We are excited to see chiropractor-led input and research options incorporated in the WHO’s guidelines for chronic low back pain. At Alliance Chiropractic & Wellness Clinic, we are committed to providing evidence-based, non-surgical management and treatment for all of your musculoskeletal health concerns including chronic low back pain. 

Helping patients in Ancaster, Greater Hamilton Area, the Alliance team can help you navigate the path to relief, recovery, and maintaining your optimal level of health. Contact us today to learn more about our services and how we can support your health and wellness journey.

For more information, the original article can be found on Chiropractic.ca.

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