Diagnosis and management of neck and back pain

Modern management of chronic SP emphasises the role of self-care, which should begin in general practice at presentation of the first episode and be reinforced by all health professionals. In the absence of root compression, bed rest should be minimal. A positive approach is encouraged, acknowledging that returning to a normal life may require working through pain. More emphasis is laid on actively encouraging a return to physical fitness and other activities, including employment. Medication plays a secondary role by facilitating these objectives.