This focuses on patients who "have been in pain for longer than 6 weeks but less than one year, where pain may be linked to structures in the back such as joints, muscles and ligaments".
NICE recommends that clinicians trying to improve the management of persistent non-specific low back pain use manual therapy, as practised by osteopaths, which includes techniques using spinal manipulation, mobilisation, and massage/soft tissue work.
Further information concerning the full guidance and a summary of the guidelines, can be found at http://www.nice.org.uk/CG88
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