Back to Normal
Common
sense used to dictate that a person recently suffering from low back pain
should spend a few days in bed, so as not to aggravate the injury or increase
the pain.
But this recommendation has changed in the last decade, as studies show that
when it comes to back pain, bed rest can actually increase pain and delay
healing.
To
compare two treatments for people suffering from back pain beginning in the
previous three days, the authors of a recent study assigned patients to one
of two groups for four days. One group of patients spent a minimum of 16
hours a day resting in bed and ceased activities, while the other group spent
a maximum of 12 hours a day in bed and resumed normal daily activity. The
patients, ages 18-65, were seen three times after the initial
"treatment" phase: at day six or seven, at one month, and after
three months.
Pain
intensity, functional disability,
and spine stiffness were similar for patients in both groups at all three
appointments after treatment. However, a greater percentage of people in the
"bed rest" group initially needed sick leave than people in the
"normal activity" group (86% vs. 52%, respectively).
Normal
activity has emerged as a better treatment option than bed rest for low back
pain. Movement allows your muscles and spine to stay strong and flexible.
Stay on your feet to prevent back pain and avert its progression to
long-term, debilitating pain. Your chiropractor
can recommend safe, effective activities to promote or regain a pain-free
back.
Reference:
Rozenberg
S, Delval C, Rezvani Y, et al. Bed rest or normal activity for patients with
acute low back pain: A randomized controlled trial. Spine 2002:27(14),
pp. 1487-1493.