Effectiveness of rehabilitation for spinal pain

The evidence for effectiveness of different approaches is often diluted by the inclusion of heterogeneous groups and, in this case, lack of agreement over what constitutes 'acute' and 'chronic' back pain is a clear confoundin g factor. Although there are undoubtedly common issues in the approach to t hese problems, there are also clear differences. Closer definition of the p roblem and the development of specific and targeted outcome measures is req uired. In common with other areas of musculoskeletal rehabilitation, the evidence strongly supports exercise (except possibly in the rare case of true radicu lar back pain) and a cognitive behavioural approach to pain management. The variability of evidence in support of manipulation suggests that patient s election is important, but as yet those selection criteria are not clear. As is often the case, medical interventions are rarely submitted to evaluat ion in terms of functional outcome so, for procedures such as epidurals and facet joint injections, the jury is still out at the current time.