Back Pain Research Review

Over 2000 studies reviewed

In 2000 the Swedish Council on Technology Assessment in Health Care (SBU) appointed an international project group of 13 people who were charged with reviewing the results from scientific studies published during the 1990 and earlier. The report contains 21 chapters, 2000 references, and covers 800 pages. Approximately 80% of the studies referenced have been published since a previous report in 1980. Today, approximately 25 000 studies on back and neck pain have been identified, whereof approximately 1000 are randomized and/or controlled studies.

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The most surprising realization after studying this report is how little good science there is related the the causes and cures of back pain. Alot of science but little convincing evidence in most areas under study. Keep in mind No Evidience does not mean something is not the cause or is not effective as a treatment, It Does mean that there have not being adequately designed studies on the issue.

Pain is a signal that something is wrong. Regardless of its location, pain should be investigated to confirm or eliminate its association with a specific cause or serious disorder.

Although pain in the low back or neck affects most people at some time during their lives, it is seldom a sign of serious illness. In some people, the effects are more severe and more frequent, but most experience mild effects and only occasionally. Few experience constant, persistent pain.

To Date Research Has Been Of Little Help

Research seldom explains why or how pain in the low back or neck originates, or how long it will last, ie, whether it is acute and temporary or will remain a chronic problem. It can result from different, but perhaps associated, factors. The relationship of these factors often remains unknown. Although it is not always possible to cure back pain, treatment methods are available which can effectively relieve pain in most people.

Back Pain and Individual Factors

Numerous studies have analyzed whether factors related to the individual, eg, gender, age, body length, weight, anatomic changes in the spine, and smoking correlate in any way with back pain. The data currently available do not reveal any specific, individual risk factors for back pain.

Most studies find no differences in the risk for back pain, neither between men and women nor among individuals of different height, weight, etc.