Fact or Fiction • This material can be presented as information or as an elimination quiz • It is aimed at promoting the current guidelines for back care e.g. – Rest is not a treatment for back pain – Maintaining activity helps recovery – How you feel will affect how your recovery progresses Fact or Fiction • I have back pain I will get worse and may ultimately have to have an operation ! FICTION •Most adults (60-80%) experience back pain at some time and it frequently reoccurs, but acute attacks are usually brief and self limiting. Fact or Fiction • The work I do is the main cause of my bad back FICTION • Physical demands of work (lifting and handling, bending twisting and whole body . vibration) are a risk fact in the onset of back pain BUT overall the non work, individual and unidentified factors are more important. Fact or Fiction • The way I feel about my bad back will determine how likely it is to get worse ! FACT • If you think of yourself as a victim of the work you do you are more likely to get worse. Being positive about getting back to normal helps you to recover. Fact or Fiction • If I have a bad back I have to wait for the doctors, physiotherapists, osteopaths, chiropractors etc to sort it out for me ! FICTION • You have the biggest role to play in getting better - keep active and keep positive. Fact or Fiction • A lumbar belt will prevent me getting a bad back, after all they work for weight lifters FICTION • Lumbar belts or supports do not reduce work related low back pain and sickness absence Fact or Fiction • I should not return to work until the back pain has completely gone. FICTION • Continuing ordinary activities as normally as possible leads to less reoccurrence and will give the same or faster recovery from the immediate symptoms. - In some cases temporary changes to the job will be needed to allow this to happen Fact or Fiction • X Rays and scans will not always show up the causes of back pain. FACT • In patients with non specific low back pain X ray and MRI findings do not match well with symptoms or work capacity Fact or Fiction • If I hurt my back I should go to bed and rest until I feel better ( I should rest and let pain be my guide!) FICTION • Prolonged resting weakens the muscles which support the back and can hinder recovery. Bed rest for 2-7 days is worse than no treatment or ordinary activity and is not as effective as other treatments Fact or Fiction • Going for manipulation (for example Physiotherapist Chiropractor or Osteopath) can make things worse. FICTION • The risks of manipulation are very low in skilled hands and within 6 weeks of the onset can give short term improvement in pain and activity levels Fact or Fiction • I should not return to work until the pain has completely gone. In effect the longer I am away from the cause the better. FICTION • The longer someone is off the lower the chances of them ever returning to an active life. After 4- 12 weeks there is a 10-40% risk of them being off after 1 year. After 1-2 years it unlikely that the person will ever return to work. Fact or Fiction • If it hurts don’t do it ! FICTION • Activity is helpful and sometimes will give some pain. Think how stiff your back is after a two hour drive - What is it like after a week in bed ? Fact or Fiction • A simple bruise could cripple you for life FACT • Non specific back pain is in effect bruising around your spine. If you rest too long and avoid activity in case it causes more damage your back will get weaker and become more likely to get hurt which causes you to rest more etc etc. Fact or Fiction • If I have a bad back I need a really firm bed FICTION • The bed should be firm but should give support. A bed which is too hard will cause as much a problem as one which is too soft. FACT ! FICTION !