treatment of low back pain

Stunning new guidelines from the American College of Physicians were released in February, after a review of all the research evaluating treatment of low back pain in adults published between January 2008 and November 2016.

The new guidelines recommend “non-pharmacological treatment” for acute and chronic low back pain.

In this major reversal of what has been traditional medical practice, the College recommends physical treatments such as heat, massage, acupuncture and spinal manipulation rather than medication.

The guidelines recommend medication – usually nonsteroidal anti-inflammatories (NSAIDs) or muscle relaxants – should be considered only after a trial after physical therapies has not been successful.