And perhaps the biggest problem I have with this study about backpacks and adolescent back pain is that an overuse syndrome usually does NOT cause pain in the early stages. When the body is physically stressed by something like carrying a backpack, it often requires many years before the overuse results in pain.
So if we say that the cause of most low back pain is not understood, it should mean that we do not know what mechanism is causing the low back pain most of the time. But that is not true. We can often palpate tight myofascial tissue or a dysfunctional joint that is causing back pain.
A study from Germany investigated whether watching one’s back during massage increases the analgesic effect of this treatment for lower back pain patients.