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A very common injury, particularly for people who are starting to exercise after long periods of inactivity, is acute back pain. Though it is more common in older adults, anyone can be affected, with estimates suggesting that about 80% of individuals will experience back pain at some point in their lives. This condition can cause considerable discomfort, affecting both work performance and overall quality of life.

According to Dr. Nguyen Thi Dung, a physiotherapy specialist and sports injury expert at Hanoi French Hospital (HFH), acute back pain is one of the most frequent reasons why people seek consultation with general physicians.

Patients often describe the pain as stabbing, tearing, or cutting, and it may radiate into the lower extremities, mimicking “sciatic-like” symptoms. Importantly, acute low back pain (LBP) can significantly reduce the quality of life, limiting daily activities and decreasing work capacity.

“In most cases, acute back pain will subside when patients follow appropriate care methods. However, the condition can frequently recur. If left untreated after multiple recurrences, patients may face complications,” said Dr. Le Thi Nhung, a neurology specialist at Hanoi French Hospital.

Dr. Le Thi Nhung, a neurology specialist at Hanoi French Hospital. Photo courtesy of HFH

Complications may include muscle weakness, reduced mobility, and sphincter dysfunction, leading to difficulty urinating or incontinence. In more severe cases, this could result in paralysis of both legs.

Acute back pain can also occur during exercise or daily activities and may stem from various causes, including lumbar disc herniation, infectious arthritis, osteoporosis, tumors compressing the lumbosacral area, overexertion or physical strain, injuries from accidents, falls, or strong impacts during sports, job- factors such as prolonged sitting or standing, and sudden movements that misalign the spine and discs.

For managing acute back pain, proper care, including managing inflammation, stretching, and preparing the body for exercise, can alleviate symptoms and, in most cases, eliminate the need for further treatment.

However, Dr. Dung recommends a more comprehensive approach to treatment. She advises regular exercise to help prevent future episodes of back pain. Choosing an exercise you enjoy and can stick with is key.

The recommended exercise guidelines suggest 150 minutes of moderate-intensity exercise (where you become slightly breathless) or 75 minutes of vigorous exercise per week. If walking is your preferred exercise, aim for 10,000 steps per day. Stretching exercises are also beneficial for maintaining the flexibility and mobility of your back.

“Whether you’re just beginning your fitness journey or are a seasoned athlete, HFH can help you better understand your body and find the healthiest path to preventing and recovering from injuries,” said Dr. Dung.