Dr. Andrea Furlan

Not sleeping well, not moving the body well, not eating well, working too much or being sedentary, overweight. So lifestyle puts the body at a high threshold, like a higher chance of developing chronic pain. And then, of course, there are things that we know related to the pain itself.

Not sleeping well, not moving the body well, not eating well, working too much or being sedentary, overweight. So lifestyle puts the body at a high threshold, like a higher chance of developing chronic pain. And then, of course, there are things that we know related to the pain itself.

Not sleeping well, not moving the body well, not eating well, working too much or being sedentary, overweight. So lifestyle puts the body at a high threshold, like a higher chance of developing chronic pain. And then, of course, there are things that we know related to the pain itself.

If a person has an acute pain that is not well treated, is not well managed, like they are left to suffering pain, people don't give them the proper painkillers, let's say a surgery, We also know that that stress of the acute pain can also predispose the person to have more chronic pain.

If a person has an acute pain that is not well treated, is not well managed, like they are left to suffering pain, people don't give them the proper painkillers, let's say a surgery, We also know that that stress of the acute pain can also predispose the person to have more chronic pain.

If a person has an acute pain that is not well treated, is not well managed, like they are left to suffering pain, people don't give them the proper painkillers, let's say a surgery, We also know that that stress of the acute pain can also predispose the person to have more chronic pain.

So there's a big push for surgeons and anesthetists to treat acute pain, especially post-operatively, post-surgical, really well, because we know that that predisposes people to have chronic pain.

So there's a big push for surgeons and anesthetists to treat acute pain, especially post-operatively, post-surgical, really well, because we know that that predisposes people to have chronic pain.

So there's a big push for surgeons and anesthetists to treat acute pain, especially post-operatively, post-surgical, really well, because we know that that predisposes people to have chronic pain.

A few months ago, December 2023, the World Health Organization released guidelines exactly for that, for chronic primary low back pain. When we say primary low back pain, it means it's this nociplastic pain. It's when the pain already transformed from acute to chronic. Because we know 90% of chronic low back pain is primary chronic pain.

A few months ago, December 2023, the World Health Organization released guidelines exactly for that, for chronic primary low back pain. When we say primary low back pain, it means it's this nociplastic pain. It's when the pain already transformed from acute to chronic. Because we know 90% of chronic low back pain is primary chronic pain.

A few months ago, December 2023, the World Health Organization released guidelines exactly for that, for chronic primary low back pain. When we say primary low back pain, it means it's this nociplastic pain. It's when the pain already transformed from acute to chronic. Because we know 90% of chronic low back pain is primary chronic pain.

So secondary chronic low back pain would be if the person has a tumor in the spine, like a cancer, a fracture, or they have an inflammation, there are some inflammatory diseases like ankylosing spondylitis that affect the spine, or they have a neurological impairment. But when you exclude those

So secondary chronic low back pain would be if the person has a tumor in the spine, like a cancer, a fracture, or they have an inflammation, there are some inflammatory diseases like ankylosing spondylitis that affect the spine, or they have a neurological impairment. But when you exclude those

So secondary chronic low back pain would be if the person has a tumor in the spine, like a cancer, a fracture, or they have an inflammation, there are some inflammatory diseases like ankylosing spondylitis that affect the spine, or they have a neurological impairment. But when you exclude those

Secondary causes of low back pain, 90% of chronic low back pain is primary, which means it's just a problem of the pain system that is having desensitization, the muscles are tense, they are aggravated by mental stress, physical stress, sedentary life, all of those. So how do you combat this chronic back pain? It's lifestyle. Medications will not do the trick.

Secondary causes of low back pain, 90% of chronic low back pain is primary, which means it's just a problem of the pain system that is having desensitization, the muscles are tense, they are aggravated by mental stress, physical stress, sedentary life, all of those. So how do you combat this chronic back pain? It's lifestyle. Medications will not do the trick.

Secondary causes of low back pain, 90% of chronic low back pain is primary, which means it's just a problem of the pain system that is having desensitization, the muscles are tense, they are aggravated by mental stress, physical stress, sedentary life, all of those. So how do you combat this chronic back pain? It's lifestyle. Medications will not do the trick.

Opioids, anti-inflammatories, analgesics, they are good if you have acute low back pain for a short period of time. Or if you have a secondary back pain that is secondary to one of those things, okay? But if it is nociplastic pain, like this primary chronic pain, medications, only if the person has some other... Like a depressed, they are very depressed, so we need to give them antidepressants.

Opioids, anti-inflammatories, analgesics, they are good if you have acute low back pain for a short period of time. Or if you have a secondary back pain that is secondary to one of those things, okay? But if it is nociplastic pain, like this primary chronic pain, medications, only if the person has some other... Like a depressed, they are very depressed, so we need to give them antidepressants.