Holistic Management Of 57 Years Old Male With Low Back Pain Through The Family Medicine Approach In Primary Care Of Karang Anyar


  • Yuliana Fakultas Kedokteran, Universitas Lampung
  • Dian Isti Angraini Universitas Lampung




family medicine, low back pain, holistic management.


Low back pain is one of the common health problems that 50–80% of adults experience at some point in their life. The overall burden of LBP arising from ergonomic exposures at work was estimated at 21.8 million disability adjusted life years (DALYs). To apply the principles of family doctor medicine according to the problems found in patients in various aspects and carry out a holistic and comprehensive management that includes patient-centered, family approached, and community-oriented based on evidence-based medicine. This study is a case report. Primary data were obtained through autoanamnesis, physical examination and home visits, filling in family folders, completing family data, psychosocial and environmental data. Patient Mr. S, 57 years old, working as a mosque cleaner, came to Karang Anyar Primary Health Care, has a complaint of lower back pain since 2 months ago. The pain felt was like being stabbed and radiated to the patient's left leg. Initially, the patient admitted that the pain didn’t interfere with his work activities, but since the last 2 weeks before came to the Primary health care, the patient complained that the pain was getting worses and interfered with his activities. The patient was diagnosed as Low Back Pain (LBP). There are several factors that influence the patient's condition, namely internal and external risk factors. Holistic management with a family medicine approach is needed for patients with to low back pain to identify problems in various aspects in order to support the success of therapy.


Suryadi I dan Rachmawati S. Work Posture Relations with Low Back Pain Complaint on Partners Part of PT “X” Manufacture Tobacco Products. Jurnal of Vacational Health Studies (internet) Surakarta: Fakultas Kedokteran Universitas Sebelas Maret; 2020. [Disitasi tanggal 11 Agustus 2022) Tersedia dariwww.ejournal.unair.ac.id/index.php

Castellin G, lannicell V, Brigugli o M, et al. Are clinical practice guidelines for low back pain interventions of high quality and updated? A systematic review using the AGREE II instrument (internet). OpenAccess;2020. [Disitasi tanggal 11 Agustus 2022). Tersedia dari https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05827-w.

Rizki MM, Fitria S. Tatalaksana Medikamentosa pada Low Back Pain Kronis. Juke Unila. 2020. 9(1) : 1-7.

Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: systemic review (internet). Rev Saude Publica;2015. [Disitasi tanggal 15 Agustus 2022). Tersedia dari https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4603263/pdf/00348910-rsp-S0034

Fatoye F, Gebrye T, Odeyemi I. Real-world incidence and prevalence of low back pain using routinely collected data (internet). SpingerLink 2019. [Disitasi tanggal 17 Agustus 2022). Tersedia dari https://link.springer.com/article/10.1007/s00296-019-04273-0.

Wahab A. Faktor-Faktor yang berhubungan dengan Keluhan nyeri Punggung Bawah (Low Back Pain) pada Nelayan di Desa Batu Karas Kecamatan Cijulang Pangandaran (internet). J Biomedika UMS, 2019 Tersedia dari http://journals.ums.ac.id/index.php/biomedika/article/view/7599.

Dutmer Al, Preuper HR, Soer R. et.al. Personal and Societal Impact of Low Back Pain (internet). J spine; 2019. [Disitasi tanggal 17 Agustus 2022] Tersedia dari https://pubmed.ncbi.nlm.nih.gov/31369481/

Wijayanti F, Oktafany, Ramadhian MR, et.al. Kejadian Low Back Pain (LBP) pada Penjahit Konveksi di Kelurahan Way Halim Kota Bandar Lampung. J Medula. 2019; 8(2).

Mohamed SH, Seyed MA. Low Back Pain: A Comprehensive Review on the Diagnosis, Treatment Options, and the Role of Other Contributing Factors (internet). OpenAccess; 2021. [Disitasi tanggal 20 Agustus 2022) Tersedia dari https://www.researchgate.net/publication/355307193.

Justitia B, Atyanti N, Miftahurrahmah. Hubungan Kejadian Low Back Pain Dengan Indeks Massa Tubuh Pada Pengendara Motor Di Kota Jambi. J Kedokteran Unja. 2022;10(1): 149

Andini F. Risk Factor of Low Back Pain. J Majority. 2016;4(1). 12-8

Andaru CS, Santosis WM dan Husna M. Low Back Pain. J of pain, headache and Vertigo. 2021; 2(1): 13-5.

Yasserilie, Et. Al. Panduan Ergonomi (internet). Jakarta: Perhimpunan Dokter Indonesia;2020. [Disitasi tanggal 26 Agustus 2022). Tersedia dari https://www.its.ac.id/burb/wp-content/uploads/sites/106/2021/07/Panduan-Ergonomi-WFH-PEI-200514-OnlineVer.pdf.



How to Cite

Yuliana, & Angraini, D. I. . (2023). Holistic Management Of 57 Years Old Male With Low Back Pain Through The Family Medicine Approach In Primary Care Of Karang Anyar. Medical Profession Journal of Lampung, 13(5), 671-677. https://doi.org/10.53089/medula.v13i5.779




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