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    OMTA
    Jun 24, 2018

    NICE guidelines for low back pain management 2017

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    1.Self management: the patients should know information about low back pain nature. They also should encourage to get back to their normal activity. 2.Manual therapy treatment package: Mobilization, manipulation, soft tissue techniques. Manual therapy techniques should be combined with exercise program. 3.Exercise program: the program should be tailored according patient needs and capabilities. 4.Psychological considerations: cognitive behavioural therapy is an effective treatment approach with patients who have constant low back pain due to psychological believes such as fear of movement or previous non effective treatment. 5.Pharmacological treatment: oral NSAIDs for low back pain at the lowest effective dose for the shortest possible period of time. 6.Radiofrequency denervation: Only perform radiofrequency denervation in people with Severe chronic low back pain after a positive response to a diagnostic medial branch block. 7.Surgical referral: according to patient needs, case severity after non-effective treatment.

    List of non-effective treatment approaches according to NICE guidelines: 1. Acupuncture 2. TENS 3. PENS 4. Ultrasound 5. Traction 6. Spinal injections

    All guidelines represent the view of NICE, published after careful consideration of the latest available evidence till July 2017. Read more about NICE guidelines for musculoskeletal conditions : https://www.nice.org.uk/guidance/conditions-and-diseases

     

     

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    • OMTA
      Jun 28, 2018

      Clinical Practice Guidelines Neck Pain: Revision 2017

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    • OMTA
      Jun 27, 2018

      Clinical Practice Guidelines Neck Pain: Revision 2017

      Summary of Recommendations for neck intervention (Continued): NECK PAIN WITH MOVEMENT COORDINATION IMPAIRMENTS (including whiplash-associated disorder [WAD]): Acute: - Clinicians should provide the following: • Education of the patient to Return to normal, non-provocative pre-accident activities as soon as possible. - Minimize use of a cervical collar. - Perform postural and mobility exercises to decrease pain and increase ROM. - Reassurance to the patient that recovery is expected to occur within the first 2 to 3 months. - Clinicians should provide a multimodal intervention approach including manual mobilization techniques plus exercise (eg, strengthening, endurance, flexibility, postural, coordination, aerobic, and functional exercises) for those patients expected to experience a moderate to slow recovery with persistent impairments. - Clinicians may provide the following for patients whose condition is perceived to be at low risk of progressing toward chronicity: • A single session consisting of early advice, exercise instruction, and education • A comprehensive exercise program (including strength and/or endurance with/without coordination exercises) • Transcutaneous electrical nerve stimulation (TENS) - Clinicians should monitor recovery status in an attempt to identify those patients experiencing delayed recovery who may need more intensive rehabilitation and an early pain education program. Chronic: - Clinicians may provide the following: • Patient education and advice focusing on assurance, encouragement, prognosis, and pain management. • Mobilization combined with an individualized, progressive submaximal exercise program including cervicothoracic strengthening, endurance, flexibility, and coordination, using principles of cognitive behavioral therapy. • TENS Read details of the guidelines: https://www. jospt.org/doi/full/10.2519/jospt.2017.0302
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