Everyday Movements May Trigger Back Pain Flares but Do Not Cause Long-Term Damage
Study Challenges Long-Held Fears About Back Pain
Common physical activities such as bending, pushing, lifting, and twisting may temporarily worsen lower back pain, but they do not lead to lasting damage, according to a new study. The research offers reassurance to people who often avoid movement out of fear of making their condition worse.
The study was published in JAMA Network Open and was conducted by researchers from the Veterans Affairs Puget Sound Health Care System and the University of Washington in the US, along with Australian institutions.
Short-Term Pain Does Not Mean Long-Term Harm
Researchers examined the effects of ten routine movements, including lifting light weights, sitting, standing, walking, bending, squatting, and twisting. More than 400 participants with lower back pain took part in the study and were followed for a full year.
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The findings showed that spending more time on activities such as lifting over 4.5 kilograms, bending, pushing, pulling, twisting, and squatting increased the chances of short-term pain flare-ups. These flare-ups were temporary and did not lead to worsening physical function over time.
Interestingly, sitting was linked to a lower risk of short-term back pain flares, though researchers caution against prolonged inactivity.
Long-Term Outcomes Remain Unaffected
The study found no connection between time spent performing physical activities during the first eight weeks and functional limitations one year later. This means that while certain movements may cause discomfort in the short term, they do not affect long-term mobility or physical ability.
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Researchers noted that these findings support the idea that movement can trigger pain without causing injury. The results challenge the belief that physical activity leads to chronic damage in people with lower back pain.
Encouraging Movement Over Avoidance
Experts said the study reinforces current public health advice that staying active is generally beneficial for lower back pain. Avoiding movement out of fear may not be necessary and could even slow recovery.
The researchers emphasised that understanding the difference between temporary pain and actual harm is important. Short-lived discomfort should not discourage people from remaining active.
What This Means for Patients
For people living with lower back pain, the study offers clarity and reassurance. Everyday movements may cause brief flare-ups, but they are unlikely to result in long-term disability. Staying physically active, with proper guidance, remains a key part of managing back pain effectively.
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