https://www.nytimes.com/2017/02/13/health/lower-back-pain-surgery-guidelines.html?_r=0 NY Times reports, American College of Physicians updated low back pain guidelines: avoid painkillers or anti inflammatories "steroid injections were not helpful" stay active "Back pain has a natural course that does not require intervention" “It is very common and very annoying when it happens. But most of the time it will not result in anything major or serious.” for acute pain ... "there is no need to see a doctor at all" "Doctors should reassure their patients that they will get better no matter what treatment they try" "Scans, like an M.R.I., for diagnosis are worse than useless for back pain patients, members of the group said in telephone interviews. The results can be misleading, showing what look like abnormalities that actually are not related to the pain." "It is surprising, some experts in back pain say, how often patients are helped by treatments that are not medical, even by a placebo that patients are told at the start is really a placebo." "Many people with chronic back pain tend to shut down, avoiding their usual activities, afraid of making things worse, Dr. Standaert said. Helping them is not a matter of prescribing drugs but rather teaching them to set goals and work toward returning to an active life, even if they still have pain. “They have to believe their life can get better,” Dr. Standaert said. “They have to believe they can get to a better state.” “I know your back hurts, but go run, be active, instead of taking a pill.” !!!!!!!!!!!!!!!!!!!!!!!!!