WHO issues first ever global guidelines on chronic low back pain
The World Health Organization (WHO) issued its first-ever global guidelines on chronic low back pain on December 7, 2023. These guidelines emphasize a holistic and non-surgical approach to managing chronic low back pain, which is a prevalent condition affecting millions worldwide.
The WHO guidelines recommend a combination of education, exercise, physical and psychological therapies, and non-steroidal anti-inflammatory drugs (NSAIDs) for managing chronic low back pain. Education is crucial in helping patients understand their condition and the importance of staying active. Exercise, particularly tailored to the individual’s needs, is highlighted as a key component in managing pain and improving function. Physical therapies, such as manual therapy and acupuncture, along with psychological therapies like cognitive-behavioral therapy, are also recommended to address both the physical and mental aspects of chronic pain.
The guidelines strongly advise against the use of opioids, lumbar braces, and traction therapies due to their limited benefits and potential harm. Opioids, in particular, are discouraged because of the risk of addiction and lack of evidence supporting their long-term effectiveness in managing chronic low back pain. Lumbar braces and traction therapies are also not recommended as they do not provide significant relief and may lead to dependency.
The WHO’s holistic approach aims to improve the quality of life for individuals suffering from chronic low back pain by promoting safe and effective treatments. The guidelines encourage healthcare providers to adopt a patient-centered approach, considering the individual’s preferences, needs, and overall health. This comprehensive strategy is expected to reduce the burden of chronic low back pain on individuals and healthcare systems globally.
In summary, the WHO’s guidelines on chronic low back pain advocate for non-surgical, holistic care, including education, exercise, physical and psychological therapies, and NSAIDs, while advising against opioids, lumbar braces, and traction therapies. This approach aims to provide effective pain management and improve the quality of life for those affected by chronic low back pain.
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