Traditional treatments like medication don’t always provide long-term relief. However, researchers from the University of Sydney’s Centre for Rural Health have found a promising solution.

Their study, published in JAMA Network Open, shows that integrating lifestyle changes into back pain care can reduce disability and improve quality of life.

Study Details

The study involved 346 participants from across Australia, all dealing with chronic low back pain and at least one lifestyle risk factor, such as obesity, poor diet, sedentary habits, or smoking. Participants were divided into two groups: one received standard physiotherapy care, while the other joined the “Healthy Lifestyle Program (HeLP).”

What HeLP Included

Participants in the HeLP group received support from physiotherapists, dietitians, and health coaches who helped identify lifestyle habits affecting their back pain, like weight, inactivity, poor diet, and smoking. Over six months, they received advice and support to address these issues.

Results

The HeLP group saw significant benefits:

• Reduced Disability: Participants scored an average of 1.3 points lower on the Roland Morris Disability Questionnaire.
• Weight Loss: Participants lost an average of 1.6kg more than the control group.

Expert Insights

Associate Professor Chris Williams explained that back pain management should focus on overall health, not just the spine. He emphasized the need for comprehensive care that considers various health factors.

Dr. Emma Mudd, the lead author, highlighted that many people with long-term back pain feel abandoned and are often referred for expensive and ineffective treatments. By focusing on lifestyle changes, patients feel more in control of their pain and see improvements in their overall quality of life.

Future Implications

The researchers believe that integrating lifestyle changes into back pain care could also reduce the risk of other chronic diseases. They hope global guidelines in the future will embrace this approach.

Dr. Mudd pointed out that patients valued the holistic support, and the positive outcomes speak for themselves. Associate Professor Williams added that clinicians should consider incorporating lifestyle support into their treatment plans, ensuring patients feel heard and involved in their care decisions.