A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain Eur Spine J. 2011 Jan; 20(1): 19–39

Marienke van Middelkoop, ¹ Sidney M. Rubinstein,² Ton Kuijpers,³ Arianne P. Verhagen,¹Raymond Ostelo,⁴ Bart W. Koes,¹ and Maurits W. van Tulder⁵

The most promising interventions for a physical and rehabilitation treatment in chronic LBP patients are a multidisciplinary and behavioral treatment approach. All types of behavioral therapy were more effective in reducing pain intensity than controls. Multidisciplinary treatment was found to be more effective in reducing pain intensity compared to controls and active treatments (e.g. exercise therapy, physiotherapy, and usual care) sick leave is also reduced at short-term follow-up. Added exercise therapy reduced pain intensity and disability significantly compared to usual care.

Brief psychosocial education, not core stabilization, reduced incidence of low back pain: results from the Prevention of Low Back Pain in the Military (POLM) cluster randomized trial BMC Med. 2011; 9: 128.

Steven Z George, ^1,7 John D Childs,^2,3 Deydre S Teyhen,^3,4 Samuel S Wu,⁵ Alison C Wright,³Jessica L Dugan,³ and Michael E Robinson^6,7

Dr. Kennedy comment: and multidisciplinary practices make significantly more revenue as well. (Chiro Eco June 2015. Practice income profiles), Laser, decompression and adjusting are powerful but the evidence on long term chronic LBP seems more and more to point towards a multidiscipline and behavioral approach.