Pain is multidimensional, and so should management be, that is what we are grappling with and it is not at all easy at present, but it will be before long. Important changes take time to integrate and get right. Things are changing for the better and the physiotherapy profession in this country stands to gain a great deal of respect for the way in which it is taking on this material. Patients and society should also benefit, and as Gordon Waddell (1998) powerfully points out, if medicine can create a low back pain disability epidemic, then it can also reverse it.”