We always knew this at the clinic but now....
it’s official and available to read in the British Medical Journal published June 17 2006 in an article called "Diagnosis and Treatment of Low Back Pain". This study looked at over 1000 randomized controlled trials of all low-back treatments. Chiropractic management fared very well in the study, with spinal manipulation recommended for both acute and chronic LBP.
Invasive procedures are hit hard. Facet joints, epidural, trigger-point, and sclerosant injections, and all surgery except surgical discectomy in selected patients who have not responded to conservative management are not recommended.
Most acute patients recover from their pain but up to 73% will have a recurrence of the pain in a year. Only 5% develop chronic pain – but identifying these is the real priority and something we work hard at doing.
Interestingly some of the treatment recommendations from 11 National Clinical Guidelines for acute low Back Pain are:
• Stay active
• Prescribe medications if necessary
• Discourage bed rest
• Consider spinal manipulation for pain relief
• Do not advise back-specific exercise.
A useful web site to check these on is :
www.backpaineurope.org
and of course contact us if you want to know more:
info@c1healthcentre.co.uk
or:
www.c1healthcentre.co.uk
Koes BW, van Tulder MW and Thomas S (2006) Diagnosis and Treatment of Low Back Pain British medical Journal 332:1430-1434

2008-07-22 @ 17:53