Management of chronic low back pain and leg pain requires a multifactorial approach. Low back pain can be difficult to treat as the clinician not only has to identify the underlying causative factors to restore homeostasis to the system, but also has to ensure that the treatment does not unnecessarily exacerbate the symptoms.
The aim of treatment is to increase the active control of the passively unstable and associated areas so that the patient can operate within an increased envelope of function, and with minimised symptom recurrences.
The training must be simple, requiring minimal equipment so that it is readily accessible to the individual and can be practised frequently. As chronic problems are never cured, only managed, therapists and patients must manage the symptoms over the long term.