Abstract
Low back pain and obesity are two important common and public health problems. These two complex entities are associated to biopsychosocial phenomena. It is now admitted that low back pain is frequently associated to obesity but the mechanisms of this association remain unclear. Medically supervised nonsurgical weight loss improved different types of musculoskeletal pain in obese patients. Though, to day, bariatric surgery allows a more rapid weight loss than a caloric diet restriction in association with a daily physical activity. By a bariatric surgery, associated with a pre- and post-surgery educational program, different studies have clearly shown that such a large weight loss is followed by a decrease of the pain intensity and, in parallel, by a rapid decrease of disabilities and an increase of the quality of life. Though, different aspects remain unresolved: by which mechanisms these improvements are obtained? Is there a relationship between the weight reduction, the body composition and different structural and functional abnormalities observed in low back pain and obese patients?
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