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Is Back Pain Prevention Possible? A New Systematic Review Suggests That One Intervention Stands Out

have pointed out that modern medicine has a tendency to exaggerate its ability to prevent common diseases. As a result, many patients, health care providers, and members of the general public have unwarranted faith in some common prevention strategies. In no area of prevention has there been a greater mismatch between expectations and results than in the back pain arena. For the past half-century, medicine and industry have viewed back pain largely through the prism of the “injury model” and attempted to prevent it through the reduction in physical loading at work. Tens of millions of workplaces have instituted prevention programs to reduce spinal loading. Over that time frame, the prevalence of low back pain hasn’t changed. And for most of that period, the prevalence of disabling back pain soared. None of the widely applied prevention strategies appears to have been successful, at least on a broad population basis.