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Michael O'Donnell looks at recent developments in the treatment of back pain and explains why stress could be the new sickness absence epidemic

In the past, lower back pain (LBP) has been addressed either from a 'risk management' perspective in terms of prevention of injury or, alternatively, from a sickness and disability management perspective. Common to both approaches is the assumption of a close relationship between physical abnormality, pain and dysfunction. However, recent clinical research has shown that LBP disability is explained by psychosocial as well as biomedical factors. Indeed, in terms of work absence, psychosocial factors seem to be more powerful predictors than either biomedical or ergonomic factors. Recently,...

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