Professor Alison Rushton serves as the Director of the School of Physical Therapy at Western University. Her research integrates musculoskeletal physiotherapy, precision medicine, and spinal health to improve the management spinal pain. Spinal pain is the leading health condition requiring effective management. Low value care, inefficient and fractured care pathways, and lack of a person-centred approach contribute to high health and economic costs in Canada. Current management practices of spinal pain strongly contribute to the growing use of opioids and a one size fits all approach does not work. To better manage spinal pain, an urgent need for comprehensive assessment to inform precision interventions exists. Comprehensive 360° assessment of the multiple dimensions of spinal pain, including physical measures (e.g., strength, daily activity) and biomarkers (e.g., inflammatory markers) is required. Unique and innovative combinations of measures will identify factors important to patient outcomes, mechanisms of spinal pain and inform precision rehabilitation and surgical interventions.