{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T15:05:38Z","timestamp":1789743938043,"version":"4.0.1"},"reference-count":56,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Chronic non-specific low back pain (CNLBP) is one of the most common musculoskeletal conditions reported worldwide. Self-management interventions have been reported to be effective and affordable in managing CNLBP. However, few studies have been conducted in low- and middle-income countries, and their use by physiotherapists remains a global challenge.\nObjectives: This study aimed to gather physiotherapists\u2019 input regarding self-management of CNLBP in the Limpopo province of South Africa.\nMethod: A descriptive, exploratory qualitative study design was used. Physiotherapists working with CNLBP management were selected, and online interviews were conducted in English. Thematic analysis was used to analyse the data using ATLAS.ti software.\nResults: Twenty-one physiotherapists participated in interviews. Participants\u2019 experiences were diverse. Six themes emerged: (1) Physiotherapists\u2019 understanding of patients\u2019 beliefs and practices, (2) Presentation of patients with CNLBP, (3) Elements of treatment, (4) Impact of social factors, (5) Accessibility to primary healthcare services, and (6) Interprofessional teamwork. These findings emphasise elements that must form part of a self-management programme.\nConclusion: The biopsychosocial model of self-management, which includes a variety of exercises, educational programmes, socioeconomic factors, and interprofessional care, is esteemed as the most effective form of treatment and significantly improves access to primary healthcare.\nClinical Implications: Healthcare professionals are advised to implement a biopsychosocial approach throughout the treatment process to enhance patient-centred care, taking into account patients\u2019 beliefs and practices regarding CNLBP, its presentation, key elements of treatment, the role of social factors, access to services, and interprofessional teamwork.<\/jats:p>","DOI":"10.4102\/sajp.v82i1.2348","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T14:17:42Z","timestamp":1789741062000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The experiences of physiotherapists regarding self-management practices for patients with non-specific chronic low back pain, South Africa: A qualitative study"],"prefix":"10.4102","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1642-8568","authenticated-orcid":false,"given":"Sergant G.","family":"Motha","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3186-7486","authenticated-orcid":false,"given":"Niri","family":"Naidoo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6118-9041","authenticated-orcid":false,"given":"Karien","family":"Mostert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Ahenkorah, J., Moffatt, F., Diver, C. & Ampiah, P.K., 2019, \u2018Chronic low back pain beliefs and management practices in Africa: Time for a rethink?\u2019, Musculoskeletal Care 17(4), 376\u2013381. https:\/\/doi.org\/10.1002\/msc.1424","DOI":"10.1002\/msc.1424"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Ahmed, S.K., 2024, \u2018The pillars of trustworthiness in qualitative research\u2019, Journal of Medicine, Surgery, and Public Health 2, 100051. https:\/\/doi.org\/10.1016\/j.glmedi.2024.100051","DOI":"10.1016\/j.glmedi.2024.100051"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Akhal, T., Gabra, M., Adesokan, M. & Babatunde, O.O., 2025, \u2018Self-management interventions for common long-term conditions in low- and middle-income countries: A synthesis of current evidence\u2019, Journal of Global Health 15, 04148. https:\/\/doi.org\/10.7189\/jogh.15.04148","DOI":"10.7189\/jogh.15.04148"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Almeida, M., Saragiotto, B. & Maher, C.G., 2018, \u2018Primary care management of non-specific low back pain: Key messages from recent clinical guidelines\u2019, Medical Journal of Australia 209(5), 235\u2013235.e1. https:\/\/doi.org\/10.5694\/mja18.00446","DOI":"10.5694\/mja18.00446"},{"key":"ref4","unstructured":"Alperovitch-Najenson, D., Becker, A., Belton, J., Buchbinder, R., Cadmus, E.O., Cardosa, M. et al., 2023, WHO guideline for non-surgical management of chronic primary low back pain in adults in primary and community care settings, World Health Organization, Geneva."},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Alt, A., Luomajoki, H. & Luedtke, K., 2023, \u2018Which aspects facilitate the adherence of patients with low back pain to physiotherapy? 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