How common is low back pain?

Low back pain is very common.  About 75% of individuals (three out of every four people) will experience low back pain at some point in their lives.  It is one of the most frequent reasons for clinic visits.

What causes low back pain?

There are many causes for low back pain.  Some of the most common ones include: accidents, injuries, tight muscles from the hassles of daily life, and changes in the body due to getting older and/or being overweight.  Only about 3% (3 out of 100 people) will have low back pain from cancer, infection, or diseases in other organs.  Stress can affect how strong the pain is and how long it lasts.

When should I see a clinician for low back pain?

Usually back pain goes away on its own, and you do not need to see a clinician.  It is a good idea to make a clinic appointment if:

• your pain is severe
• the pain does not get better over time
• your pain is from a fall or an injury
• you have had cancer
• you have any of the following along with back pain: trouble urinating; weakness, pain, numbness, or tingling in your legs; fever; or

unplanned weight loss.

How long does back pain last?

Low back pain can be acute, lasting less than six weeks, or chronic, lasting longer than three months.  If it is chronic, you might feel it all the time, or it might come-and-go.  Most people (60%) who have acute pain recover in one week.  Sixty to 90% of patients recover in six weeks.  Ninety-five percent of patients recover in 12 weeks.  Of concern, back pain tends to recur within six months for 40% of patients. 

How is low back pain treated?

Low back pain is treated in a variety of ways. 

1. Acute pain usually goes away on its own. It is important to stay active, and not lie in bed. The following approaches may help you feel more comfortable:

• take over-the-counter pain medication
• apply heat to the back, then ice, then heat again (Apply each for 20 minutes.  Protect your skin, so you do not burn or freeze it.  Do this two or more times per day.)