The UK National Institute for Health and Care Excellence clinical guideline for low-back pain and sciatica, and a clinical practice guideline from the American College of Physicians.
“Until now, the recommended approach to help LBP (Lower Back Pain) in general practice was to prescribe simple pain medicines such as paracetamol or anti-inflammatories,” said lead author Dr Adrian Traeger, researcher from the Musculoskeletal Health Group at the University’s School of Public Health.
“These new guidelines suggest avoiding pain medicines initially and discouraging other invasive treatments such as injections and surgery. The recent changes to these guidelines are important and represent a substantial change in thinking on how best to manage LBP — the previous recommendations were in place for decades.
“If you have an uncomplicated case of recent-onset LBP, your doctor may now simply provide advice on how to remain active and non-drug methods for pain relief such as heat and massage, and arrange to see you in two weeks to make sure the pain has settled.
“If your pain started a long time ago, they might suggest treatments such as yoga, exercise or mindfulness as treatment. Other effective options could include spinal manipulation, acupuncture, or multi-disciplinary rehabilitation programs.”
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