During an acute bout of mechanical back pain, sudden onset of pain may render an individual temporarily immobile on each occasion. These episodes of severe pain and restriction are likely to be infrequent and of short duration and are unlikely to last longer than 1-2 days. Pain usually quickly subsides to a much lower level and usually completely resolves, the majority being completely symptom free in 1-2 weeks. Only 5% of the total will still experience discomfort at 12 weeks but will normally have minimal functional limitations. Individuals with chronic low back pain may experience some difficulty in bending the lower back.

The affected individual should be encouraged to maintain a positive mental attitude and return promptly to employment and normal activities/lifestyle. This is important in maintaining independence and reducing unnecessary reliance on others. Similarly, as mechanical back pain does not lead to neurological or other problems in the lower limbs, mobility should not be restricted.

MBP is, however a common cause of Fibromyalgia.

Walking would not normally be adversely affected. The person would normally be able to walk normal distances with no significant impairment of gait or speed. No guidance or supervision needs are anticipated.

Care

The person would normally be able to carry out self-care tasks without help.

Specifically they would normally be able to sit, rise, bend down using the hips and knees and get in and out of bed in the usual fashion. They would normally be able to prepare a main meal for themselves. People with this condition would not normally suffer from falls and supervision and watching over would not be required.