New NICE Low Back Pain & Sciatica Guidance

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New NICE Low Back Pain & Sciatica Guidance

Today’s publication of the NICE Low Back & Sciatica Guidance was welcomed by the Royal College of Chiropractors. The Guidance recognises the evidence for spinal manipulation which is typically provided by chiropractors as part of an evidence-based package of care including exercise and psychosocial support.
http://bit.ly/2fRmtyp

NICE revised (draft) guidance recommends package of care typically provided by chiropractors

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NICE revised (draft) guidance recommends package of care typically provided by chiropractors

For low back pain, with or without sciatica, NICE revised (draft) guidance recommends risk stratification and a multimodal treatment package comprising exercise alongside at least one of:

– Self management
– Manual therapy [manipulation, mobilisation or soft tissue techniques (for example, massage)]
– Psychological therapy (for example, cognitive behavioural therapy)
 
It is noted that mobilisation and soft tissue techniques are performed by a wide variety of practitioners; whereas manipulation is usually performed by chiropractors or osteopaths, and by doctors or physiotherapists who have undergone additional training in manipulation. Manual therapists often combine a range of techniques in their approach and may also include exercise interventions and advice about self-management.