Exercise is readily available. It can be performed at home, in a group setting or at a local gym. Exercise is effective, whether it is individual or group-based.
Exercise is usually optimised when a home-based program is initially and subsequently periodically individually supervised. Discussing the planned regimen with a health practitioner before commencement and periodically subsequently encourages patient adherence.
While there is evidence that ongoing contact with a health practitioner is beneficial, this may not need to be in person. Internet delivered exercise programs show good uptake and adherence. Internet delivery includes teleconferencing (eg Skype™) with a physiotherapist or using internet based programs/apps. Some programs also have a pain coping skills component.