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Myth 1:

LBP is usually a serious medical condition.

Myth 2:

LBP will become persistent and deteriorate in later life.

Myth 3:

Persistent LBP is always related to tissue damage.

Myth 4:

Scans are always needed to detect the cause of LBP.

Myth 5:

Pain related to exercise and movement is always a warning that harm is being done to the spineand a signal to stop or modify activity.

Myth 6:

LBP is caused by poor posture when sitting, standing and lifting.

Myth 7:

LBP is caused by weak ‘core’ muscles and having a strong core protects against future LBP.

Myth 8:

Repeated spinal loading results in ‘wear and tear’ and tissue damage.

Myth 9:

Pain flare-ups are a sign of tissue damage and require rest.

Myth 10:

Treatments such as strong medications, injections and surgery are effective, and necessary, to treat LBP.

 

Fact 1:
             LBP is not a serious life-threatening medical condition.

Fact 2:
             Most episodes of LBP improve and LBP does not get worse as we age.

Fact 3:
           A negative mindset, fear avoidance behaviour, negative recovery expectations,                 and poor pain coping behaviours are more strongly associated with persistent                 pain than is tissue damage.

Fact 4:
              Scans do not determine prognosis of the current episode of LBP, the likelihood                of future LBP disability, and do not improve LBP clinical outcomes.

Fact 5:
            Graduated exercise and movement in all directions is safe and healthy for the                  spine.

Fact 6:
             Spine posture during sitting, standing and lifting does not predict LBP or its                     persistence.

Fact 7:
            A weak core does not cause LBP, and some people with LBP tend to over tense                their ‘core’ muscles. While it is good to keep the trunk muscles strong, it is also               helpful to relax them when they aren’t needed.

Fact 8:
           Spine movement and loading is safe and builds structural resilience when it is                 graded.

Fact 9:
            Pain flare-ups are more related to changes in activity, stress and mood rather                  than structural damage.

Fact 10:
             Effective care for LBP is relatively cheap and safe. This includes: education that               is patient-centred and fosters a positive mindset, and coaching people to                        optimise their physical and mental health (such as engaging in physical activity              and exercise, social activities, healthy sleep habits and body weight, and                           remaining in employment).