Centre For Complementary Health
  • HOME
  • THE TEAM
  • SERVICES
  • CONDITIONS
  • PRICE LIST
  • NEWS & COMMUNITY
    • Blog
    • Migraine Awareness Evening
  • SPECIAL OFFERS
  • CONTACT US
  • TESTIMONIALS

NICE is calling for a patient-centred approach to managing low back pain

12/23/2016

0 Comments

 
pain in lower back
NICE are the National Institute for Health and Care Excellence (NICE) has certainly not left its mark with a sweet taste! In 2009 the NICE guidelines for low back pain published (CG88) recommended offering either an exercise programme, course of manual treatment which could include osteopathy, physiotherapy or chiropractic or course of acupuncture.

It has now issued a new guideline NICE NG59 Low back pain and sciatica in over 16s: assessment and management, in which it no longer recommends acupuncture and electrotherapies as a recommended treatment for back pain.

As you can imagine there has been much activity behind the political scenes with lobbying from the three main acupuncture governing bodies in the UK. However rather sadly NICE has still excluded acupuncture in its recommendations, which is a great shame as  myself and many other acupuncturists, osteopaths and physios use acupuncture for back pain and over many years have found it to be beneficial for a whole range of back pain sufferers. I feel sure that regardless of what NICE recommends it is not going to prevent patients from finding their way to the doors of those practitioners who use acupuncture and I am certainly not about to stop using it for lower back pain!

What NICE have recommended though is a patient- centred approach to managing lower back pain. What does that mean? Well it means as practitioners we need to assess any issues that may prevent a patient from improving and the level of risk that poses. This would then help a practitioner to manage lower back pain better for that patient. Interestingly it discourages the use of imaging like x ray or MRI's for non-routine patients as it is not always reliable. By that I mean that what is seen on imaging does not always relate to the cause of the pain, particularly with the more chronic back pain.

So what does this guideline mean to me, well it is a chance for me like many other practitioners to reflect on my practice and ensure that I tailor my advice, information and treatment to people's individual  needs and capabilities, whilst encouraging people to continue with normal activities as much as possible.

Speaking with my osteopathic hat on I shall continue to use my manual skills (and in my case acupuncture) using gentle hands-on techniques to stretch muscles, rebalance the body mechanics, improve back mobility and reduce spasms. Like many manual therapists, not just osteopaths I already use exercise programmes as part of rehabilitation. It is important to take account of people's specific needs, preferences and capabilities when choosing the type of exercise. For example for some it may be important to strengthen certain muscles groups, for others there may be the need for exercises that help them to adjust their posture while for other people is may be purely about lifestyle advice to help prevent the problem from re-occurring.

Here at the Centre it is certainly an opportunity not to be missed for us as osteopaths and physios to be more reflective about meeting our patient needs.  If you have any questions for us why not email, or speak to any our experienced team http://www.centreforcomphealth.co.uk/contact-us.html


0 Comments



Leave a Reply.

    Authors

    We're all practitioners at the Centre for Comp Health in Godmanchester.

    Archives

    January 2021
    December 2020
    November 2020
    September 2020
    July 2020
    May 2020
    April 2020
    December 2019
    October 2019
    September 2019
    August 2019
    July 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    October 2018
    September 2018
    August 2018
    July 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    February 2016
    December 2015
    November 2015
    September 2015
    August 2015
    July 2015
    May 2015
    April 2015
    March 2015
    January 2015
    December 2014
    November 2014
    September 2014
    August 2014
    July 2014
    June 2014
    May 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    May 2013

    Categories

    All
    Events
    Fitness
    Health
    Polls
    Treatments

    RSS Feed


The Centre for Complementary Health,  6 Cambridge Road, Godmanchester, Huntingdon, Cambridgeshire, PE29 2BW


Copyright 2011 - 2018  Centre For Complementary Health