Prevalence, Risk Factors and Effects of Low Back Pain on Quality of Life among Healthcare Professionals of Lahore, Pakistan

Effects of Low Back Pain on Quality of Life


  • Nigarish Rafique Department of Public Health, University of the Punjab, Lahore, Pakistan
  • Waqas Farooq School of Medical Laboratory Technology, Minhaj University, Lahore, Pakistan
  • Zartash Umer Department of Public Health, University of the Punjab, Lahore, Pakistan
  • Fatima Tariq Department of Public Health, University of the Punjab, Lahore, Pakistan
  • Rameen Bukht Department of Public Health, University of the Punjab, Lahore, Pakistan
  • Muhammad Zeeshan Department of Public Health, University of the Punjab, Lahore, Pakistan
  • Mah Rukh Department of Orthotics and Prosthetics, Rawalpindi Medical University, Rawalpindi, Pakistan
  • Rubeena Zakar Department of Public Health, University of the Punjab, Lahore, Pakistan
  • Javeria Saleem Department of Public Health, University of the Punjab, Lahore, Pakistan



Prevalence, Low Back Pain, Healthcare Professionals, Occupational Risk Factors, Quality of Life


Low back pain being a prevalent disease is affecting the quality of life. The health care professionals also experience low back pain due to their nature of work. Objective: To determine the prevalence of low back pain with its contributing factors and its impact on life’s quality of healthcare professionals. Methods: The cross-sectional study design was applied to conduct this study. In this study, a total of 384 health care professionals from different hospitals of Lahore, Pakistan were randomly surveyed. Descriptive statistics and Chi square test used to analyze the data (p-value < 0.05). Results: The frequency of pain in lower back was 63% among health care professionals. A total of 56% female healthcare professionals had low back pain. Risk factors i.e. smoking behavior, poor posture at work, standing time, working hour per day, sleeping disorder and general stress had significant association with pain intensity rating scale (p-value < 0.005). The quality of life of healthcare professionals measured with Oswestry disability index (ODI) had also significant relation with low back pain (p-value < 0.0). Conclusions: In conclusion, the pain in lower back was more prevalent in female healthcare professionals. Occupational risk factors, Smoking behavior, sleeping disorder and general stress were considered as major risk factors. The most useful coping strategy was rest. The quality of life of healthcare professionals were highly effected by low back pain.


Vujcic I, Stojilovic N, Dubljanin E, Ladjevic N, Ladjevic I, Sipetic-Grujicic S. Low back pain among medical students in Belgrade (Serbia): a cross-sectional study. Pain Research and Management. 2018 Feb; 2018: 8317906. doi: 10.1155/2018/8317906. DOI:

Şimşek Ş, Yağcı N, Şenol H. Prevalence of and risk factors for low back pain among healthcare workers in Denizli. Agri. 2017 Apr; 29(2): 71-8. doi: 10.5505/agri.2017.32549. DOI:

Mijena GF, Geda B, Dheresa M, Fage SG. Low back pain among nurses working at public hospitals in eastern Ethiopia. Journal of Pain Research. 2020 Jun; 13: 1349-57. doi: 10.2147/JPR.S255254. DOI:

Terzi R and Altın F. The prevalence of low back pain in hospital staff and its relationship with chronic fatigue syndrome and occupational factors. Agri. 2015 Jul; 27(3): 149-54. doi: 10.5505/agri.2015.26121. DOI:

Farooq MW, Tahir N, Ch NA, Khatara JR. Road Traffic Injuries: Quality of Pre and Post Hospital Care in Pakistan. Journal of Positive School Psychology. 2023 May; 7(4): 1551-64.

Fernandes JA, Genebra CV, Maciel NM, Fiorelli A, Conti MH, De Vitta A. Low back pain in schoolchildren: a cross-sectional study in a western city of São Paulo State, Brazil. Acta Ortopedica Brasileira. 2015 Sep; 23: 235-8. doi: 10.1590/1413-785220152305148842. DOI:

Kongsted A, Lancet Low Back Pain Series Working Group. Low back pain: a call for action. Lancet Oncology. 2018 Jun; 391(10137): 2384-8. doi: 10.1016/S0140-6736(18)30488-4. DOI:

Koes BW, Van Tulder M, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006 Jun; 332(7555): 1430-4. doi: 10.1136/bmj.332.7555.1430. DOI:

Abolfotouh SM, Mahmoud K, Faraj K, Moammer G, ElSayed A, Abolfotouh MA. Prevalence, consequences and predictors of low back pain among nurses in a tertiary care setting. International Orthopaedics. 2015 Dec; 39: 2439-49. doi: 10.1007/s00264-015-2900-x. DOI:

Alnaami I, Awadalla NJ, Alkhairy M, Alburidy S, Alqarni A, Algarni A, et al. Prevalence and factors associated with low back pain among health care workers in southwestern Saudi Arabia. BMC Musculoskeletal Disorders. 2019 Dec; 20: 1-7. doi: 10.1186/s12891-019-2431-5. DOI:

Ali AA, Haq N, Hussain A, Rafique M, MR MI, Ahmad T, et al. Assessment of frequent work related musculoskeletal disorders in patients visiting the physiothrapy OPD of civil hospital Quetta, Pakistan: A cross sectional survey. Indian Journal of Physiotherapy and Occupational Therapy-An International Journal. 2021 Apr; 15: 91.

Nachemson AL. Advances in low-back pain. Clinical Orthopaedics and Related Research (1976-2007). 1985 Nov; 200: 266-78. doi: 10.1097/00003086-198511000-00031. DOI:

Parent-Thirion A, Biletta I, Cabrita J, Vargas Llave O, Vermeylen G, Wilczyńska A, et al. Sixth European working conditions survey–overview report. 2016 Nov. doi: 10.2806/422172.

Fairbank JC and Pynsent PB. The Oswestry disability index. Spine. 2000 Nov; 25(22): 2940-53. doi: 10.1097/00007632-200011150-00017. DOI:

Çınar-Medeni Ö, Elbasan B, Duzgun I. Low back pain prevalence in healthcare professionals and identification of factors affecting low back pain. Journal of Back and Musculoskeletal Rehabilitation. 2017 Jan; 30(3): 451-9. doi: 10.3233/BMR-160571. DOI:

Spinhoven P, Ter Kuile MM, Linssen AC, Gazendam B. Pain coping strategies in a Dutch population of chronic low back pain patients. Pain. 1989 Apr; 37(1): 77-83. doi: 10.1016/0304-3959(89)90155-3. DOI:

Luhur LJ, Ruma A, Sugianto P. Characteristics of Patients with Low Back Pain among Healthcare Professionals at John Piet Wanane General Hospital: A Cross-Sectional Study. AKSONA. 2022 Jul; 2(2): 72-7. doi: 10.20473/aksona.v2i2.36728. DOI:

Zahra N, Sheha EA, Elsayed H. Low back pain, disability and quality of life among health care workers. IJPRPM. 2020 Apr; 9(2): 34-44.

Ibrahim MI, Zubair IU, Yaacob NM, Ahmad MI, Shafei MN. Low back pain and its associated factors among nurses in public hospitals of Penang, Malaysia. International Journal of Environmental Research and Public Health. 2019 Nov; 16(21): 4254. doi: 10.3390/ijerph16214254. DOI:

Tsuboi Y, Ueda Y, Naruse F, Ono R. The association between perceived stress and low back pain among eldercare workers in Japan. Journal of Occupational and Environmental Medicine. 2017 Aug; 59(8): 765-7. doi: 10.1097/JOM.0000000000001062. DOI:

Vinstrup J, Jakobsen MD, Andersen LL. Perceived stress and low-back pain among healthcare workers: a multi-center prospective cohort study. Frontiers in Public Health. 2020 Aug; 8: 297. doi: 10.3389/fpubh.2020.00297. DOI:

Mroczek B, Łubkowska W, Jarno W, Jaraczewska E, Mierzecki A. Occurrence and impact of back pain on the quality of life of healthcare workers. Annals of Agricultural and Environmental Medicine. 2020 Jan; 27(1): 36-42. doi: 10.26444/aaem/115180. DOI:



DOI: 10.54393/pjhs.v4i11.1133
Published: 2023-11-30

How to Cite

Rafique, N., Farooq, W., Umer, Z., Tariq, F., Bukht, R., Zeeshan, M., Rukh, M., Zakar, R., & Saleem, J. (2023). Prevalence, Risk Factors and Effects of Low Back Pain on Quality of Life among Healthcare Professionals of Lahore, Pakistan: Effects of Low Back Pain on Quality of Life. Pakistan Journal of Health Sciences, 4(11), 60–65.



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