Clinical Rheumatology

, 29:25 | Cite as

Back pain amongst 8,910 young Australian women: a longitudinal analysis of the use of conventional providers, complementary and alternative medicine (CAM) practitioners and self-prescribed CAM

Original Article


Back problems and back pain are amongst the most prevalent conditions afflicting Australians and carry high direct and indirect costs for the health care systems of all developed countries. A major gap in the research literature on this topic is the longitudinal analysis of health seeking behaviour for people with back pain. All studies to date have been cross-sectional and it is important that the use of different providers (both conventional and complementary and alternative medicine, CAM) is examined over time. This study analysed data from a longitudinal study conducted over a 3-year period on 8,910 young Australian women. Information on health service use, self-prescribed treatments, and health status was obtained from two questionnaires mailed to study participants in 2003 and 2006. We found that there is little difference in the consultation practises or use of self-prescribed CAM between women who recently sought help for back pain and women who had longer-term back pain; the only difference being that women with longer-term back pain consulted more with chiropractors. We conclude that women who seek help for their back pain are frequent visitors to a range of conventional and CAM practitioners and are also high users of self-prescribed CAM treatments. The frequent use of a range of conventional providers and practitioner-based and self-prescribed CAM amongst women with back pain warrants further investigation.


Back pain Complementary medicines Complementary therapies Women 


  1. 1.
    Masters S (2004) Back pain: the Australian experience. Aust Fam Physician 33:389PubMedGoogle Scholar
  2. 2.
    Bridges-Webb C, Britt H, Miles DA, Neary S (1993) Morbidity and treatment in general practice in Australia 1990–1991. Med J Aust 158:652Google Scholar
  3. 3.
    Nachemson A, Waddell G, Norlund A (2000) Epidemiology of neck and back pain. In: Nachemson A, Jonsson E (eds) Neck and back pain: the scientific evidence of causes, diagnosis, and treatment. Lippincott Williams & Wilkins, Philadelphia, pp 165–188Google Scholar
  4. 4.
    Walker B, Muller R, Grant W (2004) Low back pain in Australian adults. Prevalence and associated disability. J Man Phys Ther 27:238–244CrossRefGoogle Scholar
  5. 5.
    Walker B, Muller R, Grant W (2004) Low back pain in Australian adults. Health provider utilisation and care seeking. J Man Phys Ther 27:327–335CrossRefGoogle Scholar
  6. 6.
    Maniadakis N, Gray A (2000) The economic burden of back pain in the UK. Pain 84(1):95–103CrossRefPubMedGoogle Scholar
  7. 7.
    Buchbinder R, Jolley D, Wyatt M (2001) Breaking the back of back pain. Med J Aust 175:456–457PubMedGoogle Scholar
  8. 8.
    Kent P, Keating J (2005) The epidemiology of low back pain in primary care. Chiro & Osteo 13:13CrossRefGoogle Scholar
  9. 9.
    Access Economics (2001) The prevalence, cost and disease burden of arthritis in AustraliaGoogle Scholar
  10. 10.
    Cherkin D, Sherman KJ (2004) Conceptualization and evaluation of an optimal healing environment for chronic low-back pain in primary care. J Altern Complement Med 10(Suppl 1):S171–8CrossRefPubMedGoogle Scholar
  11. 11.
    Brice S. Pirotta M (2006) GP decision-making regarding referral to physiotherapists, chiropractors and osteopaths. PHCC Conference presentation, Adelaide, AustraliaGoogle Scholar
  12. 12.
    Verbeek J, Sengers M, Riemens L, Haafkens J (2004) Patient expectations of treatment for back pain: a systematic review of qualitative and quantitative studies. Spine 29(20):2309–2318CrossRefPubMedGoogle Scholar
  13. 13.
    Ernst E, Pittler M, Wider B, Boddy K (2007) Complementary therapies for back pain: is the evidence getting stronger? Clin Rheumatol 26(5):736–738CrossRefPubMedGoogle Scholar
  14. 14.
    Tsuji K, Koizumi H, Okabe T (2008) Successful treatment of spondylolisthesis with medicinal herbs. Geriatrics and Gerentology International 8(2):126–129CrossRefGoogle Scholar
  15. 15.
    van Tulder MW, Cherkin D, Berman B, Lao L, Koes B (1999) The effectiveness of acupuncture in the management of acute and chronic low back pain: a systematic review within the framework of the Cochrane Collaboration back review group. Spine 24(11):1113CrossRefPubMedGoogle Scholar
  16. 16.
    Ness J, Nisly N (2004) Cracking the problem of back pain: is chiropractic the answer? Arch Intern Med 164:1953–54CrossRefPubMedGoogle Scholar
  17. 17.
    Stevens L, Duarte H, Park J (2007) Promising implications for integrative medicine for back pain: a profile of a Korean hospital. J Alt Com Med 13:481–484CrossRefGoogle Scholar
  18. 18.
    Eisenberg D, Davis R, Ettner S, Appel S, Wilkey S, Van Rompay M, Kessler R (1998) Trends in alternative medicine use in the United States, 1990–1997. JAMA 280:1569–1575CrossRefPubMedGoogle Scholar
  19. 19.
    Barnes P, Powell-Griner E, McFann K, Nahin R (2004) Complementary and alternative medicine use among adults: United States, 2002. Seminars Integrative Med 2:54–71CrossRefGoogle Scholar
  20. 20.
    Menniti-Oppolito F, Gargiulo L, Bologna E, Forcella E, Raschetti R (2002) Use of unconventional medicine in Italy: a nation-wide survey. Eur J Clin Pharmacol 58:61–64CrossRefGoogle Scholar
  21. 21.
    Sherman KJ, Cherkin DC, Connelly MT, Erro J, Savetsky JB, Davis RB, Eisenberg DM (2004) Complementary and alternative medical therapies for chronic low back pain: what treatments are patients willing to try? BMC Complementary and Alternative Medicine 4:9CrossRefPubMedGoogle Scholar
  22. 22.
    Wolsko P, Eisenberg D, Davis R, Kessler R, Phillips R (2003) Patterns and perceptions of care for treatment of back and neck pain: results of a national survey. Spine 28(3):292–297CrossRefPubMedGoogle Scholar
  23. 23.
    Xue C, Zhang A, Lin V, Myers R, Polus B, Story D (2008) Acupuncture, chiropractic and osteopathy use in Australia: a national population survey. BMC Public Health 8:105CrossRefPubMedGoogle Scholar
  24. 24.
    Foltz V, St Pierre Y, Rozenberg S, Rossignol M, Bourgeois P, Joseph L, Adam V, Penrod J, Clarke A, Fautrel B (2005) Use of complementary and alternative therapies by patients with self-reported chronic back pain: a nationwide survey in Canada. Jt Bone Spine 72:571–577CrossRefGoogle Scholar
  25. 25.
    Sibbritt D (2007) Utilising existing data sets for CAM-consumption research: the case of cohort studies. In: Adams J (ed) Researching complementary and alternative medicine. Routledge, London, pp 37–51Google Scholar
  26. 26.
    Brown WJ, Bryson L, Byles JE, Dobson AJ, Lee C, Mishra G, Schofield M (1998) Women’s health Australia: recruitment for a national longitudinal cohort study. Women Health 28:23–40PubMedGoogle Scholar
  27. 27.
    Brown WJ, Dobson AJ, Bryson L, Byles JE (1999) Women’s Health Australia: on the progress of the main study cohorts. J Womens Health Gend Based Med 8:681–688PubMedGoogle Scholar
  28. 28.
    Ware JE, Snow KK, Kosinski M et al (1993) SF-36 Health survey manual and interpretation guide. The Health Institute, New England Medical Centre, Boston, MAGoogle Scholar
  29. 29.
    Mishra G, Schofield M (1998) Norms for the physical and mental health component summary scores of the SF-36 for young, middle-aged and older Australian women. Qual Life Res 7:215–220CrossRefPubMedGoogle Scholar
  30. 30.
    Keppel G (1991) Design and analysis: a researcher’s handbook. Prentice Hall, Englewood CliffsGoogle Scholar
  31. 31.
    Westmoreland JL, Williams NH, Wilkinson C, Wood F, Westmoreland A (2007) Should your GP be an osteopath? Patients’ views of an osteopathy clinic based in primary care. Compl Ther Med 15:121–127CrossRefGoogle Scholar
  32. 32.
    MacLennan AH, Myers SP, Taylor AW (2006) The continuing use of complementary and alternative medicine in South Australia: costs and beliefs in 2004. MJA 184:27–31PubMedGoogle Scholar
  33. 33.
    Katz JN, Chang LC, Sangha O, Fossel AH, Bates DW (1996) Can comorbidity be measured by questionnaire rather than medical record review? Med Care 3:73–84CrossRefGoogle Scholar

Copyright information

© Clinical Rheumatology 2009

Authors and Affiliations

  1. 1.School of Medicine and Public Health, Faculty of HealthUniversity of NewcastleNewcastleAustralia
  2. 2.Discipline of Social Science Related to Health, School of Population HealthUniversity of QueenslandBrisbaneAustralia

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