Are the ``myths'' of low back pain alive in the general Norwegian population?

Abstract

Aim: The aim of this study was to examine the perception of low back pain care and consequences according to what Deyo refers to as seven ``myths'' about back pain, in the Norwegian population. Methods: In spring 2001, seven questions, corresponding to Deyo's myths, were included in an opinion poll (telephone interviews) of a representative sample (n=1015) of the Norwegian population. Results: In total, 41% of the population held that `If you have a slipped disc you must have surgery'. Approximately 50% believed that `X-ray and newer imaging tests can always identify the cause of pain' and `Most back pain is caused by injury and heavy lifting'. Almost 60% agreed that `Everyone with back pain should have a spine X-ray'. However, only one-quarter believed that `If your back hurts, you should take it easy until the pain goes away', and approximately one-fifth believed that `Back pain is usually disabling'. Only 12% believed that `Bed rest is the mainstay of therapy'. More individuals in the lower- compared with the higher-educated groups believed in the myths. Conclusion: Information concerning current knowledge on healthcare and health consequences of low back pain had reached only a small part of the general population. The most important factor for lack of knowledge was education. Developing effective methods to promote adequate self-care and treatment and reduce the risk of chronicity of low back pain in the lower-educated groups should be a top priority.