Walking and the benefits for Low Back Pain
A recent study published in The Lancet suggests that regular walking, combined with education, can be an effective strategy for preventing recurrent low back pain. Here’s a breakdown of the findings and implications:
The study was published online on June 19 in The Lancet
Key Findings:
Effectiveness: Participants in a walking program, who walked at least 30 minutes a day, 5 times a week, experienced fewer repeat episodes of low back pain compared to a control group. They also had longer periods between recurrences.
Cost-Effectiveness: The program was found to be cost-effective, with an incremental cost per quality-adjusted life-year (QALY) of approximately $5201 USD. This suggests that the intervention is a valuable use of resources compared to no treatment.
Adverse Events: While the intervention group reported more lower-extremity injuries (100 vs. 54 in the control group), the overall number of adverse events was similar between groups.
Educational Component: The success of the intervention was partly attributed to the educational component provided by treatment provider, which helped participants understand pain better, reduce fear of movement, and build confidence in managing their condition.
Implications:
Potential for Broad Application: This study supports the idea that walking, especially when combined with education, can be a beneficial and low-cost method for preventing low back pain recurrence. However, implementing such a program widely may face challenges, particularly in resource-constrained settings.
Role of Healthcare Providers: The involvement of healthcare provider and the educational support they provide seem to play a significant role in the program's success. The necessity for professional guidance might limit the feasibility of self-directed walking programs for some individuals.
Broader Population Needs: There’s a call for further research involving more diverse and broader populations to ensure that the findings are applicable to various demographic groups, including those with comorbidities or socioeconomic challenges.
Considerations:
Accessibility: The study highlights the importance of making such preventive measures accessible to a wider population. Alternative methods, such as digital programs or social prescriptions, might be explored to increase reach and effectiveness.
Further Research: Future studies should aim to include a diverse range of participants and healthcare providers.
Causes of low back pain and the assorted conditions associated with it e.g. sciatica are problematic. No one treatment is the panacea, however research is proving that it can be managed by activity in the home. When in doubt, go to pain tolerance and use that as a guide.
