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Issue 17 April 2024

Understanding Low Back Pain – HSE Talking Health and Wellbeing Podcast

In the latest HSE Talking Health and Wellbeing Podcast we focus on Low Back Pain with Clinical Specialist Physiotherapist Susan Murphy, who is based in orthopaedics at University Hospital Waterford. Our Podcast host Eamon Keogh and Susan went on a deep dive into the all-too-common issue of low back pain, exploring its types, causes, and the myriad of ways to alleviate and manage it. Low back pain is a condition that lurks between the ribs and the pelvis, often radiating down to one or both legs. It’s a pervasive ailment that can strike anyone, though it’s most prevalent among those aged 40 to 60 and tends to affect women more than men. Lifestyle choices play a significant role in the onset of back pain, with sedentary habits, lack of exercise, and excess weight being key contributors.

Susan clarified the different types of back pain for us, distinguishing between mechanical or simple low back pain and categorising it as either acute or chronic. Acute low back pain can last for up to six weeks, while chronic pain is longer lasting and may require professional intervention. In Ireland, a staggering 80% of the population will experience back pain at some point. While it’s not about being predisposed to it, certain factors like a family history of back pain or physically demanding jobs can increase one’s risk.

  • A sedentary lifestyle can negatively impact a healthy back.
  • Regular exercise, including walking, swimming, and cycling, can be your best defence against back pain.
  • Pilates and Yoga, which focus on flexibility and strengthening the back muscles can benefit and strengthen your lower back..

If back pain becomes severe or persists beyond a few weeks, it’s advisable to consult a healthcare professional. Susan advised that for mechanical low back pain, routine investigations aren’t typically necessary unless the symptoms are severe and persistent. We discussed the often-misunderstood topic of bulging discs, which are a normal part of aging. Susan reassured us that having bulging discs doesn’t mean you should stop exercising.

The HSE have free Pilates for Beginners, Yoga for Beginners and Chair Yoga Exercise videos available on the HSE Health and Wellbeing YouTube channel as well as Exercise Videos for People with Chronic Conditions who may have to take a more guided approach. The HSE, in collaboration with the Irish Society of Chartered Physiotherapists, has produced booklets on acute and persistent low back pain. These resources are designed to empower individuals with knowledge and exercises to manage their condition effectively and are available on www.healthpromotion.ie .