For those who maybe weren't able to make it to the talk this morning, I'm Austin Baraki, this is Jordan Feigenbaum. We're both

Physicians. We work for a company called Barbell Medicine where we go around do a lot of

education on topics related to

physical training fitness lifestyle medicine so to speak as well as we do a lot

with respect to pain and rehabilitation which is kind of what led us to end up here. And so Jordan gave a

talk this morning to the soldiers kind of a general overview of back pain given

how common of an issue it is for humans in general and for soldiers in particular.

This talk is going to be a little different.

It's going to cover a lot of similar content, but it's going to be directed more for the clinician level,

because my understanding is that we have mainly

clinicians in the audience physicians MPs p a's etc. So it's going to be at a bit of a

different level of discussion as well as the main reason why I wanted to have

slides to associate with this one is to actually show

the evidence base behind the recommendations that we make and why we suggest that you practice

in a particular way and why you not do certain other things in order to justify it rather than just saying here's

what I think that you should do.

So we're going to begin by establishing the scope of this problem and again some of these things are going to echo from

what Jordan talked about this morning but we should recognize that these data

from the 2017 Lancet Global Burden of Disease study that they do periodically over time and unfortunately with the

colors you can't tell but the overwhelming majority of the map in the world

is shaded a deep purple on this map and that deep purple reflects low back pain.

Countries wear low back pain is the number one leading cause of years lived with disability

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