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Self-Management and Low Back Pain

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Self-Management in Chronic Illness

Abstract

Low back pain is a leading cause of musculoskeletal disability worldwide, recorded in both low- and high-income countries. Recent levels of disability associated with low back pain have increased despite a significant increase in expenditure on low back pain management. Effective care for persistent musculoskeletal pain is informed by triage to rule out red flags, identification of pain mechanisms and application of evidence-based interventions. Currently, research on low back pain encourages exercise rehabilitation and pain education, both of which allow for self-management. The person-centered care and shared decision-making of the self-management model can support adherence to prescribed exercise regimens and may lower healthcare utilization. As clinicians we have the responsibility to educate patients, the community, funders, policymakers, and clinicians on self-management to help reduce the disease burden on society. Although the evidence for self-management as a treatment approach in low back pain is just beginning to evolve, contemporary knowledge of pain neuroscience and a move toward patient-centered care may demonstrate improved outcomes in the future.

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  1. University of Stellenbosch, Stellenbosch, South Africa

    Ina Diener

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  1. University of the Western Cape, Bellville, South Africa

    Jose Frantz

  2. Department of Health Psychology, University of Missouri, Columbia, MO, USA

    Laura Schopp

  3. Department of Physiotherapy, University of the Western Cape, Cape Town, South Africa

    Anthea Rhoda

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Diener, I. (2021). Self-Management and Low Back Pain. In: Frantz, J., Schopp, L., Rhoda, A. (eds) Self-Management in Chronic Illness. Springer, Cham. https://doi.org/10.1007/978-3-030-69736-5_6

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