"Finding a new normal: the lived experience of persons' journey towards coping with persistent low back pain"

Physiother Theory Pract. 2024 May;40(5):983-998. doi: 10.1080/09593985.2022.2144782. Epub 2022 Nov 13.

Abstract

Introduction: Persistent low back pain (PLBP) is the biggest global cause of disability. Persons with PLBP experience biographic disruption and existential crisis. Guidelines recommend a biopsychosocial approach to management, with the emphasis on coping strategies.

Purpose: However, there is a paucity of research exploring the lived experience of persons who self-identify as coping with PLBP.

Method: The study used an interpretive phenomenological approach, analyzing transcripts from 1:1 interviews with six persons who self-identify as coping with PLBP. Poetic language was used to elicit empathic, embodied relational understanding and convey a richer understanding of the phenomenon that authentic quotations might not able to reveal.

Findings and conclusion: Participants' descriptions conveyed the sense of a journey, starting with the loss of a sense of self as they engaged in the pain battle, followed by a transition toward a new 'normal,' in which time, acceptance and trust in their own intuition were meaningful components. Although anxiety and fear were a continued presence, but they became more manageable. Society's role in the coping process was significantly meaningful and is something which requires reflections from therapists' and more widely.

Keywords: Coping; low back pain; phenomenology; poetry.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Female
  • Humans
  • Interviews as Topic
  • Low Back Pain* / psychology
  • Male
  • Middle Aged
  • Qualitative Research
  • Self Concept