Back Pain Facts and Statistics
Low Back Pain

Although chiropractors care for more than just back pain, many patients visitchiropractors looking for relief from this pervasive condition. In fact, 31 million Americans experience low-back pain at any given time. A few interesting facts about back pain:
- One-half of all working Americans admit to having back pain symptoms each year.
- Most cases of back pain are mechanical or non-organic, meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
- Americans spend at least $50 billion each year on back pain - and that's just for the more easily identified costs.
- Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives.
What Causes Back Pain?

The back is a complicated structure of bones, joints, ligaments and muscles.
You can sprain ligaments, strain muscles, rupture disks, and irritate joints,
all of which can lead to back pain. While sports injuries or accidents can cause
back pain, sometimes the simplest of movements—for example, picking up a pencil
from the floor— can have painful results. In addition, arthritis, poor posture,
obesity, and psychological stress can cause or complicate back pain. Back pain
can also directly result from disease of the internal organs, such as kidney
stones, kidney infections, blood clots, or bone loss.
You can sprain ligaments, strain muscles, rupture disks, and irritate joints,
all of which can lead to back pain. While sports injuries or accidents can cause
back pain, sometimes the simplest of movements—for example, picking up a pencil
from the floor— can have painful results. In addition, arthritis, poor posture,
obesity, and psychological stress can cause or complicate back pain. Back pain
can also directly result from disease of the internal organs, such as kidney
stones, kidney infections, blood clots, or bone loss.
Manipulation as a Treatment for Back Problems

Used primarily by Doctors of Chiropractic (DCs) for the last century,
manipulation has been largely ignored by most others in the health care community until recently. Now, with today's growing emphasis on treatment and cost effectiveness, manipulation is receiving more widespread attention.
Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases the need for medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bedrest.
In fact, after an extensive study of all currently available care for low
back problems, the Agency for Health Care Policy and Research—a federal government research organization—recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.
manipulation has been largely ignored by most others in the health care community until recently. Now, with today's growing emphasis on treatment and cost effectiveness, manipulation is receiving more widespread attention.
Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases the need for medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bedrest.
In fact, after an extensive study of all currently available care for low
back problems, the Agency for Health Care Policy and Research—a federal government research organization—recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.
Tips to Prevent Back Pain

Here are some everyday tips and ideas to prevent your low back pain:
- Maintain a healthy diet and weight.
- Remain active—under the supervision of your doctor of chiropractic.
- Avoid prolonged inactivity or bed rest.
- Warm up or stretch before exercising or other physical activities, such as gardening.
- Maintain proper posture.
- Wear comfortable, low-heeled shoes.
- Sleep on a mattress of medium firmness to minimize any curve in your spine.
- Lift with your knees, keep the object close to your body, and do not twist when lifting.
- Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues.
- Work with your doctor of chiropractic to ensure that your computer workstation is ergonomically correct.
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References:
1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance
Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331:
69-116.
2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms,
Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.
3. This total represents only the more readily identifiable costs for medical
care, workers compensation payments and time lost from work. It does not include
costs associated with lost personal income due to acquired physical limitation
resulting from a back problem and lost employer productivity due to employee
medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team
(BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and
Research, Rockville,
4. In Vallfors B, previously cited.
5. Time to recognize value of chiropractic care? Science and patient
satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today
2003 Feb; 23(2):14-15.
6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults.
Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD:
Agency for Health Care Policy and Research, Public Health Service, U.S.
Department of Health and Human Services, December, 1994.
Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331:
69-116.
2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms,
Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.
3. This total represents only the more readily identifiable costs for medical
care, workers compensation payments and time lost from work. It does not include
costs associated with lost personal income due to acquired physical limitation
resulting from a back problem and lost employer productivity due to employee
medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team
(BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and
Research, Rockville,
4. In Vallfors B, previously cited.
5. Time to recognize value of chiropractic care? Science and patient
satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today
2003 Feb; 23(2):14-15.
6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults.
Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD:
Agency for Health Care Policy and Research, Public Health Service, U.S.
Department of Health and Human Services, December, 1994.