Patient does NOT currently have back pain- asking for how to prevent her back pain from occuring.

Being obese is the most important risk factor in back pain and osteoarthritis (step-prep)

USMLE

• Acute pain (< 4 weeks)
• treat with NSAID/acetaminophen, maintain activity, consider muscle relaxants or spinal manipulation
• Subacute (4-12) or Chronic (>12 weeks)
• Intermittent use of NSAIDs or acetaminophen (decreased freq. in comparison to acute pain), Exercise therapy (stretching/strengthening - which is what i put because i thought the patient was currently in pain), and tricyclics or duloxetine

Secondary prevention also includes exercise therapy and education, and according to this NBME weight loss as well.

She is obese. No 1 risk factor for OA which affects hip joint. So lose some weight