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13 issue of the Journal of the American Medical Association. Chronic back discomfort is an extremely complex problem influenced by many psychological, medical and social factors, said Edward Michna, director of the pain trials middle at Brigham and Women’s Hospital in Boston. It seems sensible to be as active as possible when new back discomfort occurs, and early physical therapy can help, he suggested. But the physical therapy will not change overall long-term outcomes and does not prevent back pain-related disability in the long run, said Michna, who was simply not associated with the scholarly study.