Back pain has over a hundred potential pathways and mechanisms, requiring comprehensive assessment to identify the specific type of pain and match it with an appropriate intervention.

“back pain is a symptom so let's just change the topic for a moment and talk about leg pain can you imagine asking someone well could you give me an exercise or a prevention strategy for leg pain okay so that sets the stage a little bit we're talking about a symptom for which there's a hundred or more different Pathways and mechanisms there so we've got to have a fairly comprehensive assessment now and understanding uh to focus on the type of back pain and then matching an appropriate uh inter intervention”