New WHO Guidelines Offer Better Care for People with Low Back Pain in South Africa

Johannesburg, 11 February 2025 – The World Health Organization (WHO) has introduced new guidelines to improve how healthcare workers in South Africa treat low back pain (LBP). These guidelines prioritise non-surgical treatments in community clinics and primary healthcare settings, making care more accessible for those affected.

Low back pain is a major health issue worldwide, affecting millions of people. In 2020, approximately 619 million people – 1 in 13 individuals – suffered from LBP. Cases have surged by 60% since 1990, making it the leading cause of disability across all age groups. Chronic LBP disrupts daily life, affecting a person’s ability to work, engage with family, and maintain an active lifestyle.

A Major Step Forward for South Africa

Until now, there has been no clear, worldwide standard for treating long-term back pain, particularly in older adults. These new WHO guidelines fill that gap, offering practical, research-backed solutions to help people manage their pain and stay active. The guidelines align with WHO’s broader healthcare plans, ensuring that South Africans—especially older individuals and those at risk of disability—receive affordable, high-quality care. In addition to treatment, posture correction and preventative care play a vital role in reducing the risk of developing chronic back pain. Poor posture, particularly in work-from-home settings and desk-bound jobs, has been identified as a key contributor to spinal strain. The importance of ergonomic adjustments, movement-based therapy, and education on maintaining proper posture to help prevent and manage back pain effectively is becoming increasingly recognised as essential for preventing and managing back pain effectively.

Expert Insights on the WHO Guidelines

Dr. Darren Subrayan, a trusted Johannesburg chiropractor with a focus in spinal health and wellness, highlighted the broader impact of these guidelines:

"I believe the WHO guidelines will transform the way we manage lower back pain on the continent, and we look forward to using these guidelines to assist people suffering with back-related issues."

With LBP recognised as the number one cause of disability worldwide, adopting these WHO-backed treatments is a huge step forward for healthcare in South Africa. By shifting toward scientifically proven, non-invasive treatments, patients will receive effective care without unnecessary procedures, reducing long-term healthcare costs and improving overall well-being.

Stay Informed

For more details on the WHO guidelines and their rollout in South Africa, visit (WHO guideline for non-surgical management of chronic primary low back pain). Stay informed with expert, research-based insights on spinal health by following Dr. Darren Subrayan on Instagram and TikTok (@DainfernChiro).

Profile of Dr. Darren Subrayan