Back pain is one of the most common musculoskeletal complaints seen in primary care settings across Dubai and the UAE. It can affect individuals of all ages and is often associated with sedentary work habits, prolonged sitting, poor posture, heavy lifting, or physical strain. Most cases are mechanical in nature and improve with conservative management.

Patients typically report lower back discomfort, stiffness, muscle tightness, or pain radiating to the buttocks or legs. Acute back pain may follow lifting injuries or sudden movements, while chronic pain may develop gradually. In most cases, no serious underlying condition is present.

Primary care evaluation focuses on identifying red-flag symptoms such as severe neurological weakness, loss of bladder or bowel control, unexplained weight loss, or history of trauma. In the absence of these warning signs, imaging is usually unnecessary in the early stages.

Management emphasizes conservative treatment. Short-term use of anti-inflammatory medications, muscle relaxants, and heat therapy may provide relief. Physical therapy exercises strengthen core muscles and improve posture. Activity modification and ergonomic adjustments at work are crucial.

Bed rest is generally discouraged; maintaining gentle movement promotes faster recovery. Patient education about posture, stretching, and weight management plays an important role in prevention.

In cases of persistent pain, referral to physiotherapy or specialist care may be considered. Lifestyle factors such as obesity and sedentary habits contribute significantly to chronic back pain in the UAE population.

Most acute back pain improves within weeks with appropriate conservative treatment. Early evaluation and structured management prevent chronic complications and functional limitation.