Study Finds Nine Modifiable Triggers for Low Back Pain

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Study Finds Nine Modifiable Triggers for Low Back Pain

Distraction was the greatest risk factor by far for new-onset acute low back pain (LBP), according to a new case-crossover study. The study, published online February 24 and in the March issue of Arthritis Care & Research, also found that onset was most likely between 7:00 am and noon, that LBP risk was substantially increased by a number of modifiable physical and psychosocial triggers, and that people older than 60 years were less at risk from heavy loads than younger participants, perhaps because they have learned how to lift safely.

“The key message for clinicians is that even brief exposure to heavy loads and awkward postures will drastically increase our chances of developing back pain,” study coauthor Manuela L. Ferreira, PhD, associate professor at the George Institute for Global Health and the Institute of Bone and Joint Research, Sydney Medical School, University of Sydney, Australia, told Medscape Medical News. “In other words, not only people who are exposed to lifting activities on an ongoing basis are at risk. In addition, being distracted and fatigued during manual tasks will likely increase our risk of having back pain. The next step would be to develop and test prevention strategies based on these results.”

  1. Distracted during activity
  2. Awkward posture
  3. Objects not close to body
  4. Manual task involving people or animals
  5. Unstable, unbalanced, or difficult to grasp
  6. Heavy loads
  7. Vigorous physical activity only
  8. Fatigue
  9. Moderate or vigorous physical activity



Arthritis Care Res. 2015;67:403-410. Abstract

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