How common is neck and lower back pain?

The magnitude of neck and lower back pain in terms of suffering, medical costs, lost work time and wages, and disruption in the quality of life is staggering. Thirty-five million Americans are affected, and the problem accounts for the country's greatest health care expenditure, at $60 billion annually. Neck and lower back pain are the second most common reason for medical office visits (just behind the common cold) and the number one cause of lost work time and disability claims.

Each year, 83 million days of work are lost, and neck and back pain sufferers spend 200 million days in bed. These patients spend almost two and a half times as much on health care as other patients, but those costs vary dramatically depending upon socioeconomic and demographic influences and not on the condition itself. Lower back pain is the most common cause of inactivity in people under age forty-five.

It's time we gave this epidemic our full attention. By doing so, we can dramatically reduce its grip on society.

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