Objective: Lower back pain is the leading cause of disability in most countries with an estimated global prevalence of 619 million. This paper provides a focused review of the literature on comorbidity among chronic spine patients and the opportunities for health promotion or preventive measures to address those comorbid conditions.
Discussion: The bi-directional relationships between spine conditions and patient physical, mental, and social health status have been well documented. Understanding spine conditions and health status is complicated by the high prevalence of comorbid conditions which may independently impact health status or be risk factors for spinal conditions.
Conclusion: Health promotion strategies are likely needed to successfully address spinal conditions globally which are directly connected to health status and patient comorbidities.
Author keywords: Chiropractic; Spine; Public Health; Health Promotion
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