National Institute for Clinical Excellence (NICE) – Early management of persistent non-specific low back pain.

In improving early management of lower-back pain, advice’s the use of manual therapy, such as osteopathy, Techniques reviewed were

• spinal manipulation (a low-amplitude, high-velocity movement at the limit of joint range that takes the joint beyond the passive range of movement)
• spinal mobilisation (joint movement within the normal range of motion)
• massage (manual manipulation or mobilisation of soft tissues).

Recommendations are a course of 9 treatments over a 12-week period.

Together with provision of structured exercise programme for short and long term management of low back pain.