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Again, job related. The right chair, the right posture for
lifting things. Basically there is no evidence that this helps. Maybe it might but there
is no evidence.
Risk factor modification. Again, this probably doesn’t help much in the elderly but
things like weight, increasing strength, stopping smoking; biomechanical, lifting and
posture; psychosocial, basically there’s been no RCTs. One that hasn’t really been
tested. The only thing there is a little bit of evidence on is treating depression. One of
the treatments for LBP is to prevent depression. And the current evidence seems to suggest
that antidepressants make people less aware of the pain but it does nothing for them
functionally. If they couldn’t do an activity before, they can’t do it afterward; now
they’re just not depressed or unhappy about it. But still the perception of pain seems
to be decreased. |