Years ago I was in a Back School program that really seemed to help. I recently re-injured my back but there was no mention at the clinic about Back School. Has it gone out of favor now?

Back school for health education about back pain started in 1969 in Sweden. At first it was thought that a weak back and back-straining work increased the risk of low back trouble.

Back school has proven most effective for patients with chronic nonspecific low back pain (LBP). In nonspecific LBP the cause is unknown but is likely related to the soft tissues, joints, ligaments, and sometimes disc problems. There is no infection, tumor, or fracture present.

Today, there are many variations in the content and intensity of back schools. You'll find programs offered by people with various training and background. Exercise physiologists, physical therapists, chiropractors, and sports trainers are just a few of the disciplines with training in this area.

The daily program or intense six-week program of the 1970s and 1980s has been replaced by a shorter course of instruction. Patients meet with a physical therapist for one to four sessions spread out over several weeks to a month. Some programs are extended up to eight weeks. Some offer a specific 3-hour question and answer session. Most programs cover basic anatomy, pathologies, and biomechanics. Advice on lifting, exercise, and general fitness is usually included.

Updated programs that incorporate new ideas based on more recent evidence may not be referred to as Back School. Other names such as Back Care Boot Camp have replaced this one.