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Condition · ICD-10 M54.5

Low back pain

Lower-back pain. The world's leading cause of years lived with disability (WHO). Affects 70% of Moroccans at least once in their life.

In Morocco — WHO estimates 619 million people suffered from low back pain in 2020, projected to reach 843 million by 2050. In Morocco, HCP survey: 70% of adults reported at least one episode in the past 12 months. Leading cause of work absence in Morocco (CNSS study 2018).

Main symptoms

  • •Lower-back pain (between the lowest ribs and the buttock crease)
  • •Morning stiffness
  • •Pain worsened by effort (common low back pain)
  • •Radiating pain to buttock or leg (sciatica)
  • •Limited mobility
  • •Palpable muscle spasm

Risk factors

  • ⚠️ Improper efforts, lifting heavy loads
  • ⚠️ Prolonged sitting (remote work, drivers)
  • ⚠️ Sedentary lifestyle and lack of strength training
  • ⚠️ Overweight (BMI > 25)
  • ⚠️ Pregnancy
  • ⚠️ Lumbar osteoarthritis (after age 50)
  • ⚠️ Stress and poor emotional management
  • ⚠️ Unsuitable mattress

Management and treatments

**Acute phase** (< 4 weeks): maintain activity (rest > 48h is harmful), paracetamol + short-course NSAIDs (7 days max), local heat. **Subacute/chronic phase**: active physiotherapy (strengthening + stretching), progressive return to sport (swimming, walking, yoga), therapeutic education, cognitive therapy if psychological impact, injections as last resort. Surgery (< 2% of cases) reserved for compressive disc herniation. Rheumatologist consultation reimbursed 80% by CNOPS.

Prevention

Regular physical activity 150 min/week (WHO), ergonomic workstation (screen at eye level, straight back), healthy weight, firm mattress changed every 10 years, strength training (core, Pilates twice a week), proper lifting technique (bend the knees).

Frequently asked questions

When should I see emergency for back pain?+
Warning signs: violent trauma, fever, leg weakness, recent incontinence, severe night pain that doesn't ease, history of cancer. → Emergency room (141).
Should I stay in bed with acute back pain?+
NO — HAS and WHO recommend gentle activity. Rest > 48h worsens pain and delays recovery.
Is an MRI always needed?+
No. HAS advises against imaging in the first 6 weeks of common back pain without warning signs. MRI if treatment fails at 6 weeks or compressive disc herniation is suspected.
What sport can I do with chronic back pain?+
Swimming (front crawl, backstroke), walking, yoga, Pilates, upright bike. Avoid: running on hard surfaces, tennis, contact sports, weightlifting without supervision.

📖 Detailed article

To learn more about low back pain, read our cornerstone medically reviewed article.

Read the full article →
⚠️ Medical disclaimer. This sheet is informational. It does not replace a consultation with a healthcare professional. Cited sources: WHO, HAS, ANAM.

Need a medical opinion?

Consult a rhumatologue near you.

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