Chronic low back pain, the leading cause of disability worldwide, often resists standard treatments, prompting the need for more comprehensive strategies.
A groundbreaking study by the University of Sydney’s Centre for Rural Health highlights the efficacy of integrating lifestyle support into chronic low back pain treatment. This randomized controlled trial involved 346 patients with chronic low back pain and additional lifestyle risk factors, such as obesity, physical inactivity, smoking, or an unbalanced diet. The participants were divided into two groups: one receiving standard physiotherapy care and the other participating in a healthy lifestyle programme (HeLP) that provided telephone support from nutritionists, health coaches, and physiotherapists.
The HeLP programme yielded notable results. Over six months, participants reduced their disability scores by 1.3 points on the Roland Morris Disability Questionnaire and lost 1.6 kg more than those in the control group. The programme offered tailored advice to address individual risk factors, such as inadequate sleep and unhealthy habits. Associate Professor Chris Williams stated,
The study also underscored the empowerment of patients in managing their pain. Dr. Emma Mudd, a senior researcher, emphasized, “[p]atients feel more confident in self-managing their pain, which not only relieves their symptoms but also improves their overall well-being.” Beyond pain relief, the programme reduced risks of comorbid chronic diseases, enhancing overall health outcomes.
The findings advocate for including lifestyle modifications in global clinical guidelines for low back pain management. Associate Professor Williams remarked, “[c]linicians should consider the importance of comprehensive support as it allows patients to take an active role in their treatment.” This approach aligns with the growing recognition of the interconnected nature of physical and lifestyle health factors.
The study underscores the potential of holistic interventions in transforming chronic pain management, emphasizing the need for a patient-centred approach that addresses the broader determinants of health.
