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URLhttps://www.healthdirect.gov.au/back-pain
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Meta TitleBack pain — an overview | healthdirect
Meta DescriptionBack pain is rarely caused by a serious medical problem but can significantly affect your wellbeing and quality of life. Learn how to manage it.
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Key facts Your back includes the area from your neck to your buttocks. More than 9 out of 10 cases of back pain are not caused by a serious medical problem. Most cases of back pain can be diagnosed without imaging scans, such as x-ray, CT or MRI. Keeping active has been shown to be the most effective way of managing non-specific back pain. On this page What is back pain? What causes back pain? When should I see my doctor? How is back pain diagnosed? How is back pain treated? Living with back pain Complications of back pain Resources and support Related information on Australian websites What is back pain? Back pain includes pain that affects any area of your spine or the surrounding muscles, nerves and tissues. Your back includes the area from your neck to your buttocks. The adult spine is made of 24 individual vertebrae stacked on top of each other. These are the bones that make up your spine and the bony tunnel (spinal canal) that encases and protects your spinal cord . Between your vertebrae are ‘intervertebral discs ’. These spongy cushions act as shock absorbers. Ligaments , tendons and muscles also hold your spine together and allow it to flex and bend. The spine is divided into 5 regions: cervical — includes your neck region, from where your skull is attached to your spine, down to your shoulders thoracic — the region where your ribs attach to your spine lumbar — lower back sacrum — the 5 vertebrae that fuse to form a triangular bone that is attached to your pelvic bones coccyx (tailbone) — the 4 joined (fused) vertebrae at the base of your spine, where your pelvic floor ligaments and muscles attach Diagram of the different regions of the spine. Back pain can affect any area of the back, but it most commonly affects the lower back . Back pain can be acute or chronic: Acute pain lasts for a short time only and may have a clear cause (for example, accident or injury). Chronic pain lasts longer than 3 months, and often needs to be managed differently. Learn more about chronic pain and options for managing it . What causes back pain? Specific causes of back pain Problems with any of the bones, muscles, nerves or connective tissues of the back can lead to back pain, including: osteoarthritis inflammatory arthritis , such as spondyloarthropathies and ankylosing spondylitis bone fractures , which are more common if you have osteoporosis herniated disc Very rarely, back pain results from a serious condition, such as a spinal infection or cancer . Non-specific back pain In most cases, your doctor won’t identify a specific cause of the pain. This pain is known as ‘non-specific back pain’. While this can be frustrating, it should also reassure you that your pain isn’t caused by a serious medical problem. Factors that can worsen non-specific back pain include: soft tissue injuries stress smoking lack of exercise overweight or obesity sudden increase in load on the spine — for example, lifting heavy objects or children, when you’re not used to it mental health conditions such as anxiety or depression When should I see my doctor? You should see your doctor if your back pain isn’t getting better after about 6 weeks or is affecting your ability to sleep or perform daily activities. They can give you advice about measures you can take to relieve and manage your back pain. You should call triple zero (000) or go to your nearest emergency department if: the pain has come on very quickly and is severe the pain is the result of a significant injury or accident you have a fever or are unwell, along with the pain you can’t walk or move due to the pain you have symptoms such as muscle weakness or numbness in your legs , or changes to your bladder or bowel function (such as incontinence or urinary retention ) you have been experiencing unexplained weight loss FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services. How is back pain diagnosed? Your doctor will ask questions about your symptoms, medical history and general health, and will give you a physical examination . In most cases, you won’t need special tests such as x-rays , CT scans or MRI scans to diagnose the cause of your pain. Your doctor can discuss with you whether they think these are necessary. If you do have a scan, it’s important to remember that it’s normal to experience changes to your spine over time that can be seen on an imaging scan. These don’t necessarily mean that your spine is damaged. ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist. How is back pain treated? Most episodes of acute back pain eventually pass on their own without special treatment. Your doctor may prescribe medicines to help relieve short-term back pain, such as oral anti-inflammatory medicines (NSAIDs) or topical anti-inflammatory medicines applied to the skin via a cream, gel, ointment, spray or patch. Paracetamol has not been shown to be effective for acute or chronic back pain. While opioid medicines may offer short-term relief of acute, severe back pain, they aren’t usually recommended due to the high risk of significant side effects and potential harm. Living with back pain There are many things you can do to minimise and manage back pain, especially if it persists or recurs: Keep physically active : Resting your back can often make the pain worse; keeping active can relieve symptoms such as pain and poor sleep. Maintain a healthy weight : This can help reduce the load on your spine. Quit smoking : Smoking has been shown to increase the risk of developing back and neck pain and some kinds of arthritis. Manage your stress levels : Stress makes pain worse by causing increased muscle tension and spasm. You can try also strategies such as mindfulness meditation, which has been shown to reduce pain levels. Here are some tips for managing back pain while you go about your daily activities: Consider your environment : Ensure that your back is well supported while sitting and standing in different environments. Consider your furniture at home and in your workspace and in the car. An occupational therapist can give you advice about special support and aids that may help. In the car : On long car journeys, make sure you adjust your seat, mirrors and steering wheel before you start. Plan regular breaks to get up and stretch your back. Safe manual handling : If you have a physical job, you are at risk of back injury . Your employer must keep your workplace safe . They must teach you how to handle heavy loads safely, and you should follow your workplace guidelines. Workplace design and posture : Your work may require you to sit or stand for many hours. Poor posture can cause back injury or pain. Your workstation should be designed to allow you to stand and sit in a way that supports your back. Complications of back pain While most cases of back pain itself don’t have a serious cause, back pain can have a significant impact on your health and wellbeing. People with chronic back pain are at a higher risk of suffering from psychological distress and may experience difficulties with their work or daily activities. Learning to manage back pain can help reduce its impact on your health and wellbeing. Resources and support Visit WorkSafe Victoria to watch videos explaining manual handling in the workplace and how to prevent injury . Find a physiotherapist — use the Australian Physiotherapy Association search tool to find physiotherapists to prevent or treat upper back pain. See the Musculoskeletal Health Australia website for information about back pain and tips to manage and prevent back pain . Learn about why it is important to be physically active at the Australian Physiotherapy Association website. Call the National Arthritis and Back Pain Help Line on 1800 263 265 . For help to quit smoking, call Quitline or Aboriginal Quitline (staffed by Aboriginal counsellors) on 13 7848 (13 QUIT). You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available 24 hours a day, 7 days a week. Other languages The following translated resources are available: Understanding pain and what to do about it? (video) , from the Agency for Clinical Innovation (Pain Management Network) Acute low back pain patient fact sheets from NSW Multicultural Health Communication Service
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[Medicines](https://www.healthdirect.gov.au/medicines) - [Symptom checker](https://www.healthdirect.gov.au/symptom-checker) - [Service finder](https://www.healthdirect.gov.au/australian-health-services) Menu Close - [Home](https://www.healthdirect.gov.au/) - [Health topics A-Z](https://www.healthdirect.gov.au/back-pain) - [Conditions](https://www.healthdirect.gov.au/health-topics/conditions) - [Symptoms](https://www.healthdirect.gov.au/health-topics/symptoms) - [Procedures](https://www.healthdirect.gov.au/health-topics/procedures) - [Life stages](https://www.healthdirect.gov.au/life-stages) - [All topics](https://www.healthdirect.gov.au/health-topics) - [Medicines](https://www.healthdirect.gov.au/medicines) - [Symptom checker](https://www.healthdirect.gov.au/symptom-checker) - [Service finder](https://www.healthdirect.gov.au/australian-health-services) [beginning of content]() # Back pain — an overview *10-minute read* Print Share [share via Facebook](https://www.facebook.com/sharer/sharer.php?u=https://www.healthdirect.gov.au/back-pain "Share this page on Facebook") share via Email Save [Listen](https://app-oc.readspeaker.com/cgi-bin/rsent?customerid=8207&lang=en_au&readid=mainContentArticleText&url=https://www.healthdirect.gov.au/back-pain "Listen to this page using ReadSpeaker") **If you have back pain and have lost feeling or movement in your limbs or are having problems controlling your bowels or bladder, call triple zero (000) and ask for an ambulance.** ## Key facts - Your back includes the area from your neck to your buttocks. - More than 9 out of 10 cases of back pain are not caused by a serious medical problem. - Most cases of back pain can be diagnosed without imaging scans, such as x-ray, CT or MRI. - Keeping active has been shown to be the most effective way of managing non-specific back pain. ## On this page - [What is back pain?](https://www.healthdirect.gov.au/back-pain#what-is) - [What causes back pain?](https://www.healthdirect.gov.au/back-pain#causes) - [When should I see my doctor?](https://www.healthdirect.gov.au/back-pain#doctor) - [How is back pain diagnosed?](https://www.healthdirect.gov.au/back-pain#diagnosed) - [How is back pain treated?](https://www.healthdirect.gov.au/back-pain#treated) - [Living with back pain](https://www.healthdirect.gov.au/back-pain#managed) - [Complications of back pain](https://www.healthdirect.gov.au/back-pain#complications) - [Resources and support](https://www.healthdirect.gov.au/back-pain#resources) - [Related information on Australian websites](https://www.healthdirect.gov.au/back-pain#searchGeneralResults) ## What is back pain? Back pain includes pain that affects any area of your spine or the surrounding muscles, nerves and tissues. Your back includes the area from your neck to your buttocks. The adult spine is made of 24 individual vertebrae stacked on top of each other. These are the bones that make up your spine and the bony tunnel (spinal canal) that encases and protects your [spinal cord](https://www.healthdirect.gov.au/central-nervous-system). Between your vertebrae are ‘intervertebral [discs](https://www.healthdirect.gov.au/spinal-disc-problems#spinal-discs)’. These spongy cushions act as shock absorbers. [Ligaments](https://www.healthdirect.gov.au/bones-muscles-and-joints), tendons and muscles also hold your spine together and allow it to flex and bend. The spine is divided into 5 regions: - cervical — includes your neck region, from where your skull is attached to your spine, down to your shoulders - [thoracic](https://www.healthdirect.gov.au/upper-back-thoracic-pain) — the region where your ribs attach to your spine - [lumbar](https://www.healthdirect.gov.au/lumbar-spine) — lower back - sacrum — the 5 vertebrae that fuse to form a triangular bone that is attached to your pelvic bones - [coccyx (tailbone)](https://www.healthdirect.gov.au/tailbone-coccyx-pain-and-injury) — the 4 joined (fused) vertebrae at the base of your spine, where your [pelvic floor](https://www.healthdirect.gov.au/pelvic-floor-exercises) ligaments and muscles attach ![Illustration showing of the different regions of the spine; cervical, thoracic, lumbar, sacrum and coccyx.](https://media.healthdirect.org.au/images/inline/original/spine-regions-a3071c.png) Diagram of the different regions of the spine. Back pain can affect any area of the back, but it most commonly affects [the lower back](https://www.healthdirect.gov.au/low-back-pain). Back pain can be acute or chronic: - **Acute pain** lasts for a short time only and may have a clear cause (for example, accident or injury). - **Chronic pain** lasts longer than 3 months, and often needs to be managed differently. Learn more about [chronic pain](https://www.healthdirect.gov.au/chronic-pain) and [options for managing it](https://www.healthdirect.gov.au/options-for-managing-chronic-pain). ## What causes back pain? ### Specific causes of back pain Problems with any of the bones, muscles, nerves or connective tissues of the back can lead to back pain, including: - [osteoarthritis](https://www.healthdirect.gov.au/osteoarthritis) - inflammatory [arthritis](https://www.healthdirect.gov.au/arthritis), such as spondyloarthropathies and [ankylosing spondylitis](https://www.healthdirect.gov.au/ankylosing-spondylitis) - bone [fractures](https://www.healthdirect.gov.au/fractures), which are more common if you have [osteoporosis](https://www.healthdirect.gov.au/osteoporosis) - [herniated disc](https://www.healthdirect.gov.au/spinal-disc-problems) Very rarely, back pain results from a serious condition, such as a spinal infection or [cancer](https://www.healthdirect.gov.au/cancer-types). ### Non-specific back pain In most cases, your doctor won’t identify a specific cause of the pain. This pain is known as ‘non-specific back pain’. While this can be frustrating, it should also reassure you that your pain isn’t caused by a serious medical problem. Factors that can worsen non-specific back pain include: - soft tissue injuries - [stress](https://www.healthdirect.gov.au/stress) - smoking - lack of [exercise](https://www.healthdirect.gov.au/tips-for-getting-active) - overweight or [obesity](https://www.healthdirect.gov.au/obesity) - sudden increase in load on the spine — for example, lifting heavy objects or children, when you’re not used to it - mental health conditions such as [anxiety](https://www.healthdirect.gov.au/anxiety) or [depression](https://www.healthdirect.gov.au/depression) ## When should I see my doctor? You should see your doctor if your back pain isn’t getting better after about 6 weeks or is affecting your ability to sleep or perform daily activities. They can give you advice about measures you can take to relieve and manage your back pain. You should call triple zero (000) or go to your nearest emergency department if: - the pain has come on very quickly and is severe - the pain is the result of a significant injury or accident - you have a [fever](https://www.healthdirect.gov.au/fever) or are unwell, along with the pain - you can’t walk or move due to the pain - you have symptoms such as muscle weakness or [numbness in your legs](https://www.healthdirect.gov.au/limb-numbness), or changes to your bladder or [bowel function](https://www.healthdirect.gov.au/faecal-incontinence) (such as [incontinence](https://www.healthdirect.gov.au/incontinence) or [urinary retention](https://www.healthdirect.gov.au/urinary-retention)) - you have been experiencing unexplained weight loss [**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services) ## How is back pain diagnosed? Your doctor will ask questions about your symptoms, medical history and general health, and will give you a [physical examination](https://www.healthdirect.gov.au/physical-examination-by-a-doctor). In most cases, you won’t need special tests such as [x-rays](https://www.healthdirect.gov.au/x-rays), [CT scans](https://www.healthdirect.gov.au/ct-scan) or [MRI scans](https://www.healthdirect.gov.au/magnetic-resonance-imaging-mri) to diagnose the cause of your pain. Your doctor can discuss with you whether they think these are necessary. If you do have a scan, it’s important to remember that it’s normal to experience changes to your spine over time that can be seen on an imaging scan. These don’t necessarily mean that your spine is damaged. [**ASK YOUR DOCTOR** — Preparing for an appointment? Use the **Question Builder** for general tips on what to ask your GP or specialist.](https://www.healthdirect.gov.au/question-builder) ## How is back pain treated? Most episodes of acute back pain eventually pass on their own without special treatment. Your doctor may prescribe medicines to help relieve short-term back pain, such as oral [anti-inflammatory medicines (NSAIDs)](https://www.healthdirect.gov.au/anti-inflammatory-medicines) or topical anti-inflammatory medicines applied to the skin via a cream, gel, ointment, spray or patch. [Paracetamol](https://www.healthdirect.gov.au/paracetamol) has not been shown to be effective for acute or chronic back pain. While [opioid medicines](https://www.healthdirect.gov.au/opioid-medicines) may offer short-term relief of acute, severe back pain, they aren’t usually recommended due to the high risk of significant side effects and potential harm. ## Living with back pain There are many things you can do to minimise and manage back pain, especially if it persists or recurs: - **[Keep physically active](https://www.healthdirect.gov.au/fitness-and-exercise)**: Resting your back can often make the pain worse; keeping active can relieve symptoms such as pain and poor sleep. - **Maintain a healthy weight**: This can help reduce the load on your spine. - **[Quit smoking](https://www.healthdirect.gov.au/quit-smoking-vaping)**: Smoking has been shown to increase the risk of developing back and neck pain and some kinds of arthritis. - **Manage your stress levels**: Stress makes pain worse by causing increased muscle tension and spasm. You can try also [strategies](https://www.healthdirect.gov.au/relaxation-techniques-for-stress-relief) such as [mindfulness](https://www.healthdirect.gov.au/mindfulness) meditation, which has been shown to reduce pain levels. Here are some tips for managing back pain while you go about your daily activities: - **Consider your environment**: Ensure that your back is well supported while sitting and standing in different environments. Consider your furniture at home and in your workspace and in the car. An [occupational therapist](https://www.healthdirect.gov.au/occupational-therapy) can give you advice about special support and aids that may help. - **In the car**: On long car journeys, make sure you adjust your seat, mirrors and steering wheel before you start. Plan regular breaks to get up and stretch your back. - **Safe manual handling**: If you have a physical job, you are at risk of [back injury](https://www.healthdirect.gov.au/back-injuries). Your employer must keep your [workplace safe](https://www.healthdirect.gov.au/wellbeing-at-work). They must teach you how to handle heavy loads safely, and you should follow your workplace guidelines. - **Workplace design and posture**: Your work may require you to sit or stand for many hours. [Poor posture](https://www.healthdirect.gov.au/how-to-improve-your-posture) can cause back injury or pain. Your workstation should be designed to allow you to stand and sit in a way that supports your back. ## Complications of back pain While most cases of back pain itself don’t have a serious cause, back pain can have a significant impact on your health and wellbeing. People with chronic back pain are at a higher risk of suffering from psychological distress and may experience difficulties with their work or daily activities. Learning to manage back pain can help reduce its impact on your health and wellbeing. ## Resources and support - Visit WorkSafe Victoria to watch [videos explaining manual handling in the workplace and how to prevent injury](https://www.worksafe.vic.gov.au/hazardous-manual-handling). - Find a physiotherapist — use the Australian Physiotherapy Association [search tool](https://choose.physio/) to find physiotherapists to prevent or treat upper back pain. - See the Musculoskeletal Health Australia website for information about [back pain and tips to manage and prevent back pain](https://muscha.org/back-pain/). - Learn about [why it is important to be physically active](https://choose.physio/your-wellbeing/physical-activity) at the Australian Physiotherapy Association website. - Call the National Arthritis and Back Pain Help Line on [1800 263 265](tel:1800263265). - For help to quit smoking, call [Quitline](https://www.quit.org.au/articles/about-quitline-13-7848/) or [Aboriginal Quitline](https://www.quit.org.au/articles/aboriginal-quitline) (staffed by Aboriginal counsellors) on [13 7848](tel:137848) (13 QUIT). - You can also call the [healthdirect helpline](https://www.healthdirect.gov.au/how-healthdirect-can-help-you) on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available 24 hours a day, 7 days a week. ### Other languages The following translated resources are available: - [Understanding pain and what to do about it? (video)](https://www.healthtranslations.vic.gov.au/resources/understanding-pain-and-what-to-do-about-it-video), from the Agency for Clinical Innovation (Pain Management Network) - [Acute low back pain patient fact sheets](https://www.healthtranslations.vic.gov.au/resources/emergency-department-acute-low-back-pain-patient-fact-sheets) from NSW Multicultural Health Communication Service #### Sources: WorkSafe Victoria *[(Hazardous manual handling health and safety guide)](https://www.worksafe.vic.gov.au/hazardous-manual-handling-health-and-safety-guide "Hazardous manual handling health and safety guide")*, Australian Institute of Health and Welfare *[(Back problems)](https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/back-problems/contents/what-are-back-problems "Back problems")*, Musculoskeletal Australia *[(Understanding back pain)](https://msk.org.au/back-pain/ "Understanding back pain")*, Musculoskeletal Australia *[(Making driving more comfortable and less painful)](https://msk.org.au/driving-comfort/ "Making driving more comfortable and less painful")*, Perth Children’s Hospital *[(Back pain)](https://pch.health.wa.gov.au/For-health-professionals/Referrals-to-PCH/Prereferral-guidelines/Back-pain "Back pain")* Learn more here about the [development and quality assurance of healthdirect content](https://www.healthdirect.gov.au/about-our-content). Last reviewed: June 2024 [Back To Top](https://www.healthdirect.gov.au/back-pain#backToTop) ## Related pages - [Low back pain](https://www.healthdirect.gov.au/low-back-pain "Low back pain") - [Upper back pain (thoracic pain)](https://www.healthdirect.gov.au/upper-back-thoracic-pain "Upper back pain (thoracic pain)") ## Search our site for - [Spinal Stenosis](https://www.healthdirect.gov.au/search-results/Spinal%20Stenosis "Search results for: Spinal Stenosis") - [Back Injuries](https://www.healthdirect.gov.au/search-results/Back%20Injuries "Search results for: Back Injuries") - [Spinal Cord Injuries](https://www.healthdirect.gov.au/search-results/Spinal%20Cord%20Injuries "Search results for: Spinal Cord Injuries") - [Ankylosing Spondylitis](https://www.healthdirect.gov.au/search-results/Ankylosing%20Spondylitis "Search results for: Ankylosing Spondylitis") - [Spondylosis](https://www.healthdirect.gov.au/search-results/Spondylosis "Search results for: Spondylosis") ## Need more information? These trusted information partners have more on this topic. General search results Results for medical professionals Top results [Low back pain - young painHEALTH Condition · 14 min read · 10 Jun 2021 Learn about low back pain and... *Read more on youngpainhealth website* ![youngpainhealth](https://media.healthdirect.org.au/images/logos/h40/youngpainhealth_logo-5ceff7.png)](https://youngpainhealth.com.au/pain-conditions/low-back-pain/) [Lower back pain - Exercise Right Low back pain is very common. So common, in fact, that most (80%) Australian adults will experience at least one episode of low back pain during their lifetime. Although often very painful, most low back pain is not caused by a serious problem and will resolve with some simple care. Physical activity is an important part of that care. *Read more on ESSA website* ![ESSA](https://media.healthdirect.org.au/images/logos/h40/essa-horizontal-complex-blue-65c21a.png)](https://exerciseright.com.au/lower-back-pain/) [Low Back Pain - Pain Conditions - painHEALTH Learn about low back pain as a musculoskeletal pain condition to identify how you can approach low back pain in your co-management treatment plan *Read more on painHEALTH website* ![painHEALTH](https://media.healthdirect.org.au/images/logos/h40/painhealth-logo.png)](https://painhealth.com.au/pain-module/low-back-pain/) [10 things you need to know about low back pain Low back pain is common, affecting 1 in 4 Australians. Find out why scans are often unnecessary, and how staying active helps you recover faster. *Read more on NPS MedicineWise website* ![NPS MedicineWise](https://media.healthdirect.org.au/images/logos/h40/nps_logo-54f847.png)](https://www.nps.org.au/consumers/10-things-you-need-to-know-about-low-back-pain) [Information for consumers – Low Back Pain Clinical Care Standard \| Australian Commission on Safety and Quality in Health Care What is low back pain? *Read more on ACSQHC website* ![ACSQHC](https://media.healthdirect.org.au/images/logos/h40/acsqhc_logo_rgb_master_colour-c0a184.png)](https://www.safetyandquality.gov.au/standards/clinical-care-standards/low-back-pain-clinical-care-standard/information-consumers-low-back-pain-clinical-care-standard) [Back Pain — Causes, Symptoms, & Treatment \| MHA Do you have back pain? Find out about the different causes, how you can manage your musculoskeletal condition, and where to find support. Call us: 1800 263 265 *Read more on Musculoskeletal Health Australia website* ![Musculoskeletal Health Australia](https://media.healthdirect.org.au/images/logos/h40/mha-logo---horizontal-transparent\(1\)-c25236.png)](https://muscha.org/back-pain/) [Back pain - myDr.com.au Most Australian adults will experience low back pain at some time. Most uncomplicated low back pain resolves after a period of active recovery in 4 weeks. *Read more on myDoctor website* ![myDoctor](https://media.healthdirect.org.au/images/logos/h40/mydoctor-new_logo-1f39cc.png)](https://mydr.com.au/pain/back-pain/) [Back pain – disc problems \| Better Health Channel Most disc problems resolve without specific treatment. *Read more on Better Health Channel website* ![Better Health Channel](https://media.healthdirect.org.au/images/logos/h40/bhc-rectangle-image-e99950.png)](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/back-pain-disc-problems) [Back pain \| Better Health Channel Back pain is common. Some people will develop back pain that is persistent (lasts more than three months). There are many things that you can do to live well with back pain. *Read more on Better Health Channel website* ![Better Health Channel](https://media.healthdirect.org.au/images/logos/h40/bhc-rectangle-image-e99950.png)](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/Back-pain) [Back pain — Arthritis Australia Back pain is common but is rarely due to serious disease. Staying active will help you get better faster and prevent more problems. *Read more on Arthritis Australia website* ![Arthritis Australia](https://media.healthdirect.org.au/images/logos/h40/Arthritis-Australia_logo.png)](https://arthritisaustralia.com.au/what-is-arthritis/areas-of-the-body/back/) Show more Top results [Investigating and Managing Low Back Pain About 16% of Australians (4 million) are currently affected by back problems, and about 70 to 90% of people are expected to experience low back pain at some point during their lifetime. Back pain is a leading cause of disability that may adversely affect all aspects of daily functioning. Between 10 and 40% of adults with low back pain are estimated to experience persistent and disabling symptoms. *Read more on Ausmed Education website* ![Ausmed Education](https://media.healthdirect.org.au/images/logos/h40/ausmed-new-logo-872e67.png)](https://www.ausmed.com/learn/articles/low-back-pain) [RACGP - Exercise for chronic low back pain Non-specific LBP is a major health problem worldwide and is estimated to affect up to 70% of adults, exercise therapy is being recommended to manage this condition *Read more on RACGP website* ![RACGP](https://media.healthdirect.org.au/images/logos/h40/racgp_master_rgb-f5ccb3.png)](https://www.racgp.org.au/clinical-resources/clinical-guidelines/handi/handi-interventions/musculoskeletal/exercise-for-chronic-low-back-pain) [RACGP - Exercise for acute lower back pain Exercise and diet based therapies for the management of coronary heart disease,cancer fatigue,stroke and type 2 diabetes *Read more on RACGP website* ![RACGP](https://media.healthdirect.org.au/images/logos/h40/racgp_master_rgb-f5ccb3.png)](https://www.racgp.org.au/clinical-resources/clinical-guidelines/handi/handi-interventions/musculoskeletal/exercise-for-acute-lower-back-pain) [RACGP - Imaging in adults with acute low back pain Most people will experience acute (short-term, lasting less than two months) low back pain at some point in their lives. *Read more on RACGP website* ![RACGP](https://media.healthdirect.org.au/images/logos/h40/racgp_master_rgb-f5ccb3.png)](https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/first-do-no-harm/patient-resources/imaging-in-adults-with-acute-low-back-pain) [RACGP - Imaging in adults with acute low back pain The routine imaging of adult patients experiencing acute low back pain. *Read more on RACGP website* ![RACGP](https://media.healthdirect.org.au/images/logos/h40/racgp_master_rgb-f5ccb3.png)](https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/first-do-no-harm/gp-resources/imaging-in-adults-with-acute-low-back-pain) [RACGP - Mindfulness and CBT for chronic low back pain Low back pain is a leading cause of disability and MBSR and CBT have produced small but clinically meaningful improvements in patients *Read more on RACGP website* ![RACGP](https://media.healthdirect.org.au/images/logos/h40/racgp_master_rgb-f5ccb3.png)](https://www.racgp.org.au/clinical-resources/clinical-guidelines/handi/handi-interventions/musculoskeletal/mindfulness-and-cbt-for-chronic-low-back-pain) [RACGP - Advice to stay active for people with acute low back pain Advising patients with acute low back pain to stay active rather than rest in bed *Read more on RACGP website* ![RACGP](https://media.healthdirect.org.au/images/logos/h40/racgp_master_rgb-f5ccb3.png)](https://www.racgp.org.au/clinical-resources/clinical-guidelines/handi/handi-interventions/musculoskeletal/advice-to-stay-active-for-people-with-back-pain) [Low Back Pain Clinical Care Standard \| Australian Commission on Safety and Quality in Health Care Overview *Read more on ACSQHC (Health Professionals) website* ![ACSQHC (Health Professionals)](https://media.healthdirect.org.au/images/logos/h40/acsqhc_logo_rgb_master_colour-c0a184.png)](https://www.safetyandquality.gov.au/standards/clinical-care-standards/low-back-pain-clinical-care-standard) [Pregnancy-Related Back Pain Low back pain (LBP) during pregnancy is often accepted as normal - and even though multiple research studies suggest that the quality of life for patients is adversely affected, many are still advised to self-manage. *Read more on Ausmed Education website* ![Ausmed Education](https://media.healthdirect.org.au/images/logos/h40/ausmed-new-logo-872e67.png)](https://www.ausmed.com/learn/articles/pregnancy-related-back-pain) Show more ## Disclaimer Healthdirect Australia is not responsible for the content and advertising on the external website you are now entering. [OK]() ## Related pages - [Low back pain](https://www.healthdirect.gov.au/low-back-pain "Low back pain") - [Upper back pain (thoracic pain)](https://www.healthdirect.gov.au/upper-back-thoracic-pain "Upper back pain (thoracic pain)") ## Search our site for - [Spinal Stenosis](https://www.healthdirect.gov.au/search-results/Spinal%20Stenosis "Search results for: Spinal Stenosis") - [Back Injuries](https://www.healthdirect.gov.au/search-results/Back%20Injuries "Search results for: Back Injuries") - [Spinal Cord Injuries](https://www.healthdirect.gov.au/search-results/Spinal%20Cord%20Injuries "Search results for: Spinal Cord Injuries") - [Ankylosing Spondylitis](https://www.healthdirect.gov.au/search-results/Ankylosing%20Spondylitis "Search results for: Ankylosing Spondylitis") - [Spondylosis](https://www.healthdirect.gov.au/search-results/Spondylosis "Search results for: Spondylosis") ## Symptom checker **Feeling pain in your back?** Select a symptom, answer some questions, get advice [Start Your Symptom Check](https://www.healthdirect.gov.au/symptom-checker "Check symptoms") [Check your symptoms](https://www.healthdirect.gov.au/symptom-checker/tool?symptom=GNRC) [Find a health service](https://www.healthdirect.gov.au/australian-health-services) # Healthdirect 24hr 7 days a week hotline 24 hour health advice you can count on [1800 022 222](tel:1800022222) # Government Accredited with over 140 information partners ![Healthdirect logo](https://www.healthdirect.gov.au/assets/images/logo-hda.svg) We are a government-funded service, providing quality, approved health information and advice [![Australian Government, health department logo](https://www.healthdirect.gov.au/assets/images/logo-gov-dep-health.svg)](https://www.health.gov.au/) [![ACT Government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-act.svg)](https://www.health.act.gov.au/) [![New South Wales government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-nsw.svg)](https://www.health.nsw.gov.au/) [![Northern Territory Government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-nt.svg)](https://health.nt.gov.au/) [![Queensland Government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-qld.svg)](https://www.health.qld.gov.au/) [![Government of South Australia logo](https://www.healthdirect.gov.au/assets/images/logo-gov-sa.svg)](https://www.sahealth.sa.gov.au/) [![Tasmanian government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-tas.svg)](https://www.health.tas.gov.au/) [![Victorian government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-vic.svg)](https://www2.health.vic.gov.au/) [![Government of Western Australia logo](https://www.healthdirect.gov.au/assets/images/logo-gov-wa.svg)](https://ww2.health.wa.gov.au/) ## About - 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Readable Markdown
## Key facts - Your back includes the area from your neck to your buttocks. - More than 9 out of 10 cases of back pain are not caused by a serious medical problem. - Most cases of back pain can be diagnosed without imaging scans, such as x-ray, CT or MRI. - Keeping active has been shown to be the most effective way of managing non-specific back pain. ## On this page - [What is back pain?](https://www.healthdirect.gov.au/back-pain#what-is) - [What causes back pain?](https://www.healthdirect.gov.au/back-pain#causes) - [When should I see my doctor?](https://www.healthdirect.gov.au/back-pain#doctor) - [How is back pain diagnosed?](https://www.healthdirect.gov.au/back-pain#diagnosed) - [How is back pain treated?](https://www.healthdirect.gov.au/back-pain#treated) - [Living with back pain](https://www.healthdirect.gov.au/back-pain#managed) - [Complications of back pain](https://www.healthdirect.gov.au/back-pain#complications) - [Resources and support](https://www.healthdirect.gov.au/back-pain#resources) - [Related information on Australian websites](https://www.healthdirect.gov.au/back-pain#searchGeneralResults) ## What is back pain? Back pain includes pain that affects any area of your spine or the surrounding muscles, nerves and tissues. Your back includes the area from your neck to your buttocks. The adult spine is made of 24 individual vertebrae stacked on top of each other. These are the bones that make up your spine and the bony tunnel (spinal canal) that encases and protects your [spinal cord](https://www.healthdirect.gov.au/central-nervous-system). Between your vertebrae are ‘intervertebral [discs](https://www.healthdirect.gov.au/spinal-disc-problems#spinal-discs)’. These spongy cushions act as shock absorbers. [Ligaments](https://www.healthdirect.gov.au/bones-muscles-and-joints), tendons and muscles also hold your spine together and allow it to flex and bend. The spine is divided into 5 regions: - cervical — includes your neck region, from where your skull is attached to your spine, down to your shoulders - [thoracic](https://www.healthdirect.gov.au/upper-back-thoracic-pain) — the region where your ribs attach to your spine - [lumbar](https://www.healthdirect.gov.au/lumbar-spine) — lower back - sacrum — the 5 vertebrae that fuse to form a triangular bone that is attached to your pelvic bones - [coccyx (tailbone)](https://www.healthdirect.gov.au/tailbone-coccyx-pain-and-injury) — the 4 joined (fused) vertebrae at the base of your spine, where your [pelvic floor](https://www.healthdirect.gov.au/pelvic-floor-exercises) ligaments and muscles attach ![Illustration showing of the different regions of the spine; cervical, thoracic, lumbar, sacrum and coccyx.](https://media.healthdirect.org.au/images/inline/original/spine-regions-a3071c.png) Diagram of the different regions of the spine. Back pain can affect any area of the back, but it most commonly affects [the lower back](https://www.healthdirect.gov.au/low-back-pain). Back pain can be acute or chronic: - **Acute pain** lasts for a short time only and may have a clear cause (for example, accident or injury). - **Chronic pain** lasts longer than 3 months, and often needs to be managed differently. Learn more about [chronic pain](https://www.healthdirect.gov.au/chronic-pain) and [options for managing it](https://www.healthdirect.gov.au/options-for-managing-chronic-pain). ## What causes back pain? ### Specific causes of back pain Problems with any of the bones, muscles, nerves or connective tissues of the back can lead to back pain, including: - [osteoarthritis](https://www.healthdirect.gov.au/osteoarthritis) - inflammatory [arthritis](https://www.healthdirect.gov.au/arthritis), such as spondyloarthropathies and [ankylosing spondylitis](https://www.healthdirect.gov.au/ankylosing-spondylitis) - bone [fractures](https://www.healthdirect.gov.au/fractures), which are more common if you have [osteoporosis](https://www.healthdirect.gov.au/osteoporosis) - [herniated disc](https://www.healthdirect.gov.au/spinal-disc-problems) Very rarely, back pain results from a serious condition, such as a spinal infection or [cancer](https://www.healthdirect.gov.au/cancer-types). ### Non-specific back pain In most cases, your doctor won’t identify a specific cause of the pain. This pain is known as ‘non-specific back pain’. While this can be frustrating, it should also reassure you that your pain isn’t caused by a serious medical problem. Factors that can worsen non-specific back pain include: - soft tissue injuries - [stress](https://www.healthdirect.gov.au/stress) - smoking - lack of [exercise](https://www.healthdirect.gov.au/tips-for-getting-active) - overweight or [obesity](https://www.healthdirect.gov.au/obesity) - sudden increase in load on the spine — for example, lifting heavy objects or children, when you’re not used to it - mental health conditions such as [anxiety](https://www.healthdirect.gov.au/anxiety) or [depression](https://www.healthdirect.gov.au/depression) ## When should I see my doctor? You should see your doctor if your back pain isn’t getting better after about 6 weeks or is affecting your ability to sleep or perform daily activities. They can give you advice about measures you can take to relieve and manage your back pain. You should call triple zero (000) or go to your nearest emergency department if: - the pain has come on very quickly and is severe - the pain is the result of a significant injury or accident - you have a [fever](https://www.healthdirect.gov.au/fever) or are unwell, along with the pain - you can’t walk or move due to the pain - you have symptoms such as muscle weakness or [numbness in your legs](https://www.healthdirect.gov.au/limb-numbness), or changes to your bladder or [bowel function](https://www.healthdirect.gov.au/faecal-incontinence) (such as [incontinence](https://www.healthdirect.gov.au/incontinence) or [urinary retention](https://www.healthdirect.gov.au/urinary-retention)) - you have been experiencing unexplained weight loss [**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services) ## How is back pain diagnosed? Your doctor will ask questions about your symptoms, medical history and general health, and will give you a [physical examination](https://www.healthdirect.gov.au/physical-examination-by-a-doctor). In most cases, you won’t need special tests such as [x-rays](https://www.healthdirect.gov.au/x-rays), [CT scans](https://www.healthdirect.gov.au/ct-scan) or [MRI scans](https://www.healthdirect.gov.au/magnetic-resonance-imaging-mri) to diagnose the cause of your pain. Your doctor can discuss with you whether they think these are necessary. If you do have a scan, it’s important to remember that it’s normal to experience changes to your spine over time that can be seen on an imaging scan. These don’t necessarily mean that your spine is damaged. [**ASK YOUR DOCTOR** — Preparing for an appointment? Use the **Question Builder** for general tips on what to ask your GP or specialist.](https://www.healthdirect.gov.au/question-builder) ## How is back pain treated? Most episodes of acute back pain eventually pass on their own without special treatment. Your doctor may prescribe medicines to help relieve short-term back pain, such as oral [anti-inflammatory medicines (NSAIDs)](https://www.healthdirect.gov.au/anti-inflammatory-medicines) or topical anti-inflammatory medicines applied to the skin via a cream, gel, ointment, spray or patch. [Paracetamol](https://www.healthdirect.gov.au/paracetamol) has not been shown to be effective for acute or chronic back pain. While [opioid medicines](https://www.healthdirect.gov.au/opioid-medicines) may offer short-term relief of acute, severe back pain, they aren’t usually recommended due to the high risk of significant side effects and potential harm. ## Living with back pain There are many things you can do to minimise and manage back pain, especially if it persists or recurs: - **[Keep physically active](https://www.healthdirect.gov.au/fitness-and-exercise)**: Resting your back can often make the pain worse; keeping active can relieve symptoms such as pain and poor sleep. - **Maintain a healthy weight**: This can help reduce the load on your spine. - **[Quit smoking](https://www.healthdirect.gov.au/quit-smoking-vaping)**: Smoking has been shown to increase the risk of developing back and neck pain and some kinds of arthritis. - **Manage your stress levels**: Stress makes pain worse by causing increased muscle tension and spasm. You can try also [strategies](https://www.healthdirect.gov.au/relaxation-techniques-for-stress-relief) such as [mindfulness](https://www.healthdirect.gov.au/mindfulness) meditation, which has been shown to reduce pain levels. Here are some tips for managing back pain while you go about your daily activities: - **Consider your environment**: Ensure that your back is well supported while sitting and standing in different environments. Consider your furniture at home and in your workspace and in the car. An [occupational therapist](https://www.healthdirect.gov.au/occupational-therapy) can give you advice about special support and aids that may help. - **In the car**: On long car journeys, make sure you adjust your seat, mirrors and steering wheel before you start. Plan regular breaks to get up and stretch your back. - **Safe manual handling**: If you have a physical job, you are at risk of [back injury](https://www.healthdirect.gov.au/back-injuries). Your employer must keep your [workplace safe](https://www.healthdirect.gov.au/wellbeing-at-work). They must teach you how to handle heavy loads safely, and you should follow your workplace guidelines. - **Workplace design and posture**: Your work may require you to sit or stand for many hours. [Poor posture](https://www.healthdirect.gov.au/how-to-improve-your-posture) can cause back injury or pain. Your workstation should be designed to allow you to stand and sit in a way that supports your back. ## Complications of back pain While most cases of back pain itself don’t have a serious cause, back pain can have a significant impact on your health and wellbeing. People with chronic back pain are at a higher risk of suffering from psychological distress and may experience difficulties with their work or daily activities. Learning to manage back pain can help reduce its impact on your health and wellbeing. ## Resources and support - Visit WorkSafe Victoria to watch [videos explaining manual handling in the workplace and how to prevent injury](https://www.worksafe.vic.gov.au/hazardous-manual-handling). - Find a physiotherapist — use the Australian Physiotherapy Association [search tool](https://choose.physio/) to find physiotherapists to prevent or treat upper back pain. - See the Musculoskeletal Health Australia website for information about [back pain and tips to manage and prevent back pain](https://muscha.org/back-pain/). - Learn about [why it is important to be physically active](https://choose.physio/your-wellbeing/physical-activity) at the Australian Physiotherapy Association website. - Call the National Arthritis and Back Pain Help Line on [1800 263 265](tel:1800263265). - For help to quit smoking, call [Quitline](https://www.quit.org.au/articles/about-quitline-13-7848/) or [Aboriginal Quitline](https://www.quit.org.au/articles/aboriginal-quitline) (staffed by Aboriginal counsellors) on [13 7848](tel:137848) (13 QUIT). - You can also call the [healthdirect helpline](https://www.healthdirect.gov.au/how-healthdirect-can-help-you) on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available 24 hours a day, 7 days a week. ### Other languages The following translated resources are available: - [Understanding pain and what to do about it? (video)](https://www.healthtranslations.vic.gov.au/resources/understanding-pain-and-what-to-do-about-it-video), from the Agency for Clinical Innovation (Pain Management Network) - [Acute low back pain patient fact sheets](https://www.healthtranslations.vic.gov.au/resources/emergency-department-acute-low-back-pain-patient-fact-sheets) from NSW Multicultural Health Communication Service
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