NICE – the National Institute for Health and Clinical Excellence (NICE) – has published guidelines to improve the early management of persistent non-specific low back pain and one option is a course of manual therapy, including spinal manipulation of up to 9 sessions over up to 12 weeks.
This covers people who have been in pain longer than six weeks, but less than one year, where the pain may be linked to structures in the back such as joints, muscles and ligaments
British Osteopathic Association welcomes the new NICE guidelines . We are pleased to gain recognition of the part osteopathy has to play in the relief and management of lower back pain and we also appreciate the additional guidance given to GPs and other health professionals. We hope these new guidelines will lead to increased access to osteopathy for the general public through the National Health Service and avoid the current postcode lottery that can affect some people when seeking help for lower back pain.


