Exercise or rest in low back pain?

Posted by Iraíma Fadanelli on January 18th, 2018.

Tags: Chiropractic, pain, lumbar, health.

 

Studies have shown that 60% to 80% of the population will have some complaints of low back pain throughout life1. Although low back pain is one of the most frequent and disabling conditions, it is only after many years of study that this condition has been analyzed through clinical trials. Most of the analysis show that prolonged rest does not contribute to the improvement of the symptoms and ends up delaying the patient’s return to his daily activities2.

For years, it was believed that resting in cases of low back pain, with or without sciatic pain, was the best therapeutic option. This has led to a series of beliefs and impositions on patients, among them the fear that movement and exercise may increase pain and, consequently, make the situation even worse. This is a very common idea, but there is plenty of evidence to support the claim that exercise is widely used as part of treatment, helping relieve pain and improve functions3,4.

Chiropractic care is a treatment option for low back pain that does not use drugs or invasive procedures, possessing innumerable techniques that address the pain according to the history and the need of each case. Many studies have demonstrated the safety and efficacy of chiropractic care for the treatment of low back pain5,6, disk hernias, radiculopathies7,8, cervical pain, among other conditions9.

Reach your health potential through chiropractic care! Schedule your appointment and find out everything you need to know about the treatment and its benefits.

Referências:

1 Aure OF, PT, NILSEN JH, PT, Vasseljen O, PhD. “ Manual Therapy and Exercise Therapy in Patients With Chronic Low Back Pain A Randomized, Controlled Trial With 1-Year Follow-up” Spine  – March 2003.

2 Abenhaim L, Rossignol M, Valat JP, et.al. “The Role of Activity in the Therapeutic Management of Back Pain.” – Spine.  February 2000.

3 Jacobson A. “ Educating Patients about Behavioral Interventions and Exercises for Musculoskeletal Lower Back Pain.” – University of Vermont College of Medicine – March – 2017.

4 Hayden JAvan Tulder MWMalmivaara AKoes BW. “Exercise therapy for the treatment of non-specific low back pain.” –  Cochrane – International Journal of Evidence-Based Healthcare.” July – 2005.

5  Rubinstein SM, van Middelkoop M, et al., “Spinal manipulative therapy for chronic low-back pain,” Cochrane Database Syst Rev. February – 2011.

6 Bigos S, Bowyer O, Braen G et al. “Acute low back problems in adults.” AHCPR publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services.  December – 1994.

7 Leininger B, Bronfort G, Evans R, Reiter T, “Spinal manipulation or mobilization for radiculopathy: a systematic review,” Phys Med Rehabil Clin N Am – February – 2011.

8 Hahne AJ, Ford JJ, McMeeken JM, “Conservative management of lumbar disc herniation with associated radiculopathy: a systematic review,” Spine –  May – 2010.

9 Bronfort G, DC, PhD, et al. “Effectiveness of manual therapies: the UK evidence report,” Chiropractic & Osteopathy. February – 2010.