The management of 'mechanical' back pain depends on the cause. Since most of the problems are mechanical and there is a tendency to natural resolution, conservative management is quite appropriate. The rule is: 'if patients with uncomplicated back pain receive no treatment, one-third will get better within 1 week and by 3 weeks almost all the rest of the other two-thirds are better'. 13 Practitioners should have a clear-cut management plan with a firm, precise, reassuring and conservative clinical approach.
The problems can be categorised into general conditions for which the summarised treatment protocols are outlined.
• Chronic pain = greater than 3 months.
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