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Back to basics

Dawn Carnes, Director of the National Council for Osteopathic Research (NCOR), summarises new guidance from the National Institute for Health and Care Excellence (NICE) on treating adults with non-specific low back pain and sciatica.

NICE’s guideline NG59, Low Back Pain and Sciatica in Over 16s: Assessment and Management, was published in December 2016. The previous NICE guideline in this area, published in 2009, focused on low back pain lasting between six weeks and a year in patients aged 18 and over, The new version has been expanded to include a wider age group, patients with sciatica, and earlier presentation of symptoms. The focus of the updated guidance is on risk assessment and combination packages of care, including manual therapy, exercise and psychological care in the form of self-management and cognitive behavioural approaches.

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