The NHS National Institute for Health and Clinical Excellence (N.I.C.E) has produced a report and guide for Low back pain. It pertains to the most common form of back pain we see in the clinic and totally supports the advice we give all our clients with persistent non-specific low back pain.
The quick summary
Consider offering:
Structured exercise programme:
Up to 8 sessions over up to 12 weeks and may include aerobic activity, movement instruction, muscle strengthening, postural control and stretching.
Manual therapy:
Including spinal adjusting by chiropractors, up to 9 sessions over up to 12 weeks
Acupuncture:
Course of acupuncture needling, up to 10 sessions over up to 12 weeks
As you know we offer and combine all three of these modalities into our 12 week recovery programmes at Prohab.
"Prohab helped me resolve a longstanding physical issue. While it did not stop me from doing the things I Iove, it was constantly present and would often leave me in spasm if I did too much. It certainly made my work more difficult. The holistic approach to resolving this was the key. Addressing the physical element together its relationship with stress, essentially re-designing how my brain processed it, allowed for a sustainable healing and recovery process. Prohab also spent the time to ensure I had the tools to continually develop my physical resilience. My back is incredible."
Rory Simpson - Associate Dean, Executive Education, London Business SchoolMore Testimonials
Interestingly N.I.C.E. went on to recommend,
Do not offer:
SSRIs for treating pain (Anti-depressants)
Injections of therapeutic substances into the back