How did low back treatment go so wrong?

Many patients told to do the exact opposite of what the evidence shows

Too many patients with low back pain are receiving the wrong care, according to a series of Lancet papers that highlight the extent to which the condition is mistreated.

Low back pain illustration

Evidence suggests that low back pain should be managed in primary care, with the first line of treatment being education and advice to keep active and at work. 
However, in reality, a high proportion of patients are treated in EDs, encouraged to rest and stop work and are commonly referred for scans or