J Man Med 1992; 6 (5): 166–168
A brief survey and philosophy of treatment of chronic back pain presented. The rational approach should be based on at least 3 principles: achievement of good function of all peripheral structures (skin, tissue, muscles and fascia, joints); development of reasonably good muscle balance; activation of the spinocerebello-vestibular circuits on the sense of sensory motor stimulation, thus facilitating the most important afferent pathways and centres. In addition, the results of an 8-year study of chronic back pain patients are presented in brief: 91% improved, 9% remained pain free, less analgesic medication was needed by 64%. Increased motor activity was possible for 75% of these patients.