Low back pain in mineral sand mine workers. Incidence and management

To establish the prevalence of low back pain suffered by workers in three mineral sand mining companies operating in the south west of Western Australia; to determine what use was made of health care providers by those experiencing low back pain; to derive the perceptions of the value of the treatment for low back pain by health care providers.

A total of 350 questionnaires were distributed to sand mine workers who were asked to complete the questionnaires which were collected 1 week later.

completed questionnaires were returned by 204 workers giving a 58% response rate. Seventy-seven percent of male workers and 60% of female workers could remember suffering low back pain sometime in their lives. Low back pain was experienced by 61% of male sufferers and 57% of female sufferers at least two to three times a month. A total of 16% of men and 12% of women experienced low back pain on a daily basis while 30% of men and 22% of women reported that the type of work they were doing increased their low back pain. Only 19% of all male workers and 6% of all female workers had ever taken time off work due to low back pain with the average time taken off work for an acute episode, being 14 days. Overall, 47% of respondents indicated that the treatment received from general practitioners was ineffective, and only 16% of respondents assessed GPs as being better than average. Chiropractors were rated higher than physiotherapists or general practitioners in providing the most effective treatment for low back pain. Mobilising exercises were considered to be better treatment than analgesics or anti-inflammatory medication.

Low back pain is a common problem among mineral sand mine workers who preferred the services of the chiropractor or the physiotherapist to the general practitioner. Physical treatment modalities with stretching and mobilising exercises were preferred to pharmacological treatment.