The National Institute for Health and Care Excellence (NICE) has published its update for the clinical assessment and management of non specific low back pain and sciatica in adults.
Some key points:
- Movement and exercise are at the heart of the non pharmacological recommendations.
- Manual therapy should be part of a combined approach, and a long with other interventions like cognitive behavioural therapy but include exercise and not be stand alone therapies.
- Nonsteriodal anti-inflammatory drugs (NSAIDs) should be considered if no gastro-intestinal risks.
- Weak opioids should only be considered where NSAIDs are contraindicated.
- Opioids should not routinely offered in acute low back pain and should not be offered in chronic low back pain.
If you suffer from back pain or sciatica and would like to learn more about how to improve your symptoms please contact us for an assessment.