It’s estimated that 20-40% of older adults suffer from chronic low back pain. While low back pain can occur at any age, it is particularly challenging for the elderly, as it often interferes with daily activities, sleep, and exercise. Left unaddressed, chronic low back pain can increase the risk of depression, irritability, social isolation, and worsening overall health.

Several age-related factors contribute to chronic low back pain in seniors. These include degenerative changes in the spine, such as disk degeneration, arthritis, and spinal stenosis; muscle weakness and reduced flexibility; accumulated microtrauma from decades of repetitive movements or improper lifting; and chronic conditions like osteoporosis or metabolic disease, which weaken bones or increase inflammation. These factors not only make older adults more susceptible to chronic low back pain but also complicate recovery.

A November 2024 study followed 2,109 older adults with low back pain for two years and found that 77% still reported symptoms at the end of the study. While 41.7% experienced some improvement, the majority saw no change or worsening symptoms. Researchers identified four potentially modifiable risk factors for persistent low back pain: physical inactivity, neurogenic claudication (leg pain from nerve/spinal cord compression), multi-site pain, and low walking confidence. Addressing these factors could improve outcomes for older adults.

A systematic review conducted less than a decade ago highlights chiropractic care as a safe and effective treatment option for older adults. The review noted that chiropractic care improves pain and reduces disability, with users reporting high satisfaction. The review also emphasized that supportive, ongoing care—including periodic evaluations and treatment—is appropriate for seniors with musculoskeletal degeneration, as it helps them maintain functional goals and quality of life.

In summary, chronic low back pain can significantly affect an older adult’s quality of life if left unaddressed. However, conservative treatments, such as chiropractic care combined with positive lifestyle changes can improve outcomes, reduce disability, and lower the risk of recurrence. Early and proactive management is key to preserving mobility and independence.