The management of low-back pain has changed from a passive approach calling for bed rest, traction and massage to a more active approach, one focused on staying active, exercise and multidisclipnary rehabilitation. This is in line with the change from a biomedical to a biopsychosocial model for understanding low-back pain over the last 20 years. However, the burden of low-back pain is still high, and the evidence for the biopsychosocial approach is still small. In this plenary, Dr. Maurits Van Tulder discusses the need for a new revolution in low-back pain research and the obligation researchers have to contribute to improving clinical practice.

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