NICE low back pain guidance - 
                     outline
     Guidance    for   early  treatment    and 
     management of persistent or recurrent low 
     back pain, defined as non-specific low back 
     pain that has lasted for more than 6 weeks, 
     but for less than 12 months
    NICE low back pain guidance - 
     principles of management
  • Keep diagnosis under review at all times  
  • Promote self-management
  • Offer drug treatments as appropriate
  • Offer one of the following treatment 
   options ….
       Treatment options
  • Exercise programme
  • Course of manual therapy 
  • Course of acupuncture 
         Manual therapy
   • To include spinal manipulation 
   • Up to 9 sessions over up to 12 weeks
   • Care can be delivered by:
    • Chiropractors
    • Osteopaths
    • Physiotherapists with postgraduate training in 
     manipulation
                         What is chiropractic?
        •   Chiropractic is a profession, not a treatment
        •   Chiropractors provide a package of care including 
            biopsychosocial assessment
        •   Chiropractors take a detailed case history and perform a 
            thorough diagnostic examination, which considers all aspects of 
            the presenting complaint
        •   Package of care may include physical treatments drawn from all 
            types of manual therapy as well as spinal manipulation, 
            exercise, muscular therapies and a range of advice on activity, 
            lifestyle and prevention