Quiz: Test Your Knowledge of Low Back Pain Guidance

Dr Rob Hicks

Disclosures

January 15, 2021

NICE explains the cornerstone of management for those with low back pain, with or without sciatica, is self-management. Advice and information should be provided and tailored to the needs of the individual and also to their capabilities. In addition to explaining the nature of low back pain and sciatica those with these conditions should be encouraged to continue with normal activities.

Consideration should be given to group exercise programmes. Manual therapy - such as spinal manipulation, mobilisation, and massage soft tissue techniques - can be considered but only as part of a treatment package that includes exercise, with or without psychological therapy. 

NICE states that belts, corsets, foot orthotics, rocker sole shoes, traction, acupuncture, ultrasound, percutaneous electrical nerve simulation (PENS), and transcutaneous electrical nerve simulation (TENS) should not be offered for managing low back pain with or without sciatica.

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