22/03/2018
Quasi tutti, nel corso della propria vita, sono colpiti da un episodio di lombalgia. Può colpire chiunque e a qualsiasi età e l'incidenza è in aumento - la disabilità causata da questa patologia è aumentata di oltre il 50% dal 1990. Una rilevante sfida sarà fermare l'uso di pratiche dannose, garantendo al tempo stesso l'accesso a cure sanitarie efficaci e accessibili per le persone con lombalgia.
The Lancet | Series | Low back pain
Almost everyone will have low back pain at some point in their lives. It can affect anyone at any age, and it is increasing—disability due to back pain has risen by more than 50% since 1990. Low back pain is becoming more prevalent in low-income and middle-income countries (LMICs) much more rapidly than in high-income countries. The cause is not always clear, apart from in people with, for example, malignant disease, spinal malformations, or spinal injury. Treatment varies widely around the world, from bed rest, mainly in LMICs, to surgery and the use of dangerous drugs such as opioids, usually in high-income countries.
In this series of three papers on low back pain, by an international group of authors led by Prof Rachelle Buchbinder, Monash University, Melbourne, Australia, which address the issues around the disorder and call for worldwide recognition of the disability associated with the disorder and the removal of harmful practices. The first paper draws attention to the complexity of the condition and the contributors to it, such as psychological, social, and biophysical factors, and especially to the problems faced by LMICs, read here: https://hubs.ly/H0bnX0j0
The second paper outlines recommendations for treatment and the scarcity of research into prevention of low back pain, read here: https://hubs.ly/H0bnX0l0.
The last paper is a call for action — persistence of disability associated with low back pain needs to be recognised and that it cannot be separated from social and economic factors and personal and cultural beliefs about back pain, read here: https://hubs.ly/H0bnX0m0
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