Further treatment
Seeing a competent physical therapist (e.g. osteopath or sports therapist) can assist with hands-on-treatment (e.g. massage and mobilisation), exercises and taping to ensure a return to full range of mobility. For example NICE (the National Institute for Health and Care Excellence, which provide national guidance and advice for Health & Social Care) in their UK guidelines for the treatment of Lower Back Pain recommend the use of manipulation and massage, in conjunction with exercise (NICE, 2016). In addition, the Advertising Standards Association has been provided with clinical evidence to support the use of:
It therefore seems that advice seems to have completed a full circle. I firmly believe that, by dismissing everything that was done in the past, we are in danger of throwing out the baby with the bathwater. Conversely, not everything that was done historically was necessarily good or beneficial and by accepting everything that was written historically as the ultimate truth can lead to tunnel vision and possibly dangerous, clinical practice. . One must look at what is clinically effective and that having a pragmatic approach, with the ability to critically appraise information and to integrate the best of all paradigms, is the way forward in a balanced, efficacious practice of 21st century healthcare.
References
ASA (2016) Advice online Health: Osteopathy 2nd Dec 2016, Advertising Standards Authority, [online] Available at https://www.asa.org.uk/advice- online/health-osteopathy.html;
ASA (2019) Advice online Health: Acupuncture 26th Feb 2019, Advertising Standards Authority, [online] Available at : https://www.asa.org.uk/advice- online/health-acupuncture.html
Bleakley, C. et al (2012), 'PRICE needs updating, should we call the POLICE', British Journal of Sports Medicine, Vol 46 (4), published by the BMJ, Available at https://bjsm.bmj.com/content/46/4/220
Jam, B (2020) 'Paradigm Shifts: Use of Ice & NSAIDs Post Acute soft Tissue Injuries", Physical Therapy web, Available at https://physicaltherapyweb.com/paradigm-shifts-use-ice-nsaids-post-acute-soft-tissue-injuries-part-1-2/
NICE (2016) NICE publishes updated advice on treating lower back pain, National Institute for Health and Care Excellence. Available at https://www.nice.org.uk/news/article/nice-publishes-updated-advice-on- treating-low-back-pain