Some readers may be interested in the background learned articals that backup any information on the website. Here is a selection I find useful.
The Clinical Standards Advisory Group was set up in 1991 as an independent source of expert advice to the UK Health Ministers and to the NHS on standards of clinical care for, and access to and availability of services to, NHS patients. In October 1992 CSAG was asked by the Health Ministers to "advise on the standards of clinical care for, and access to and availability of services to, NHS patients with back pain".
More details on this report is here.
The CSAG Report lays stress on the key role of physical therapy in the management of simple backache and sees physical therapy as having four components:
Such manual therapy is provided by osteopaths, chiropractors and physiotherapists and the CSAG Report acknowledges that osteopaths and chiropractors, and to a lesser extent physiotherapists, have specific professional training and expertise in manipulation. The CSAG Report states that there is no convincing evidence that lumbosacral X-rays are necessary before manipulation.
In the management of simple backache CSAG sees good clinical practice and standards of care represented by the following target times following referral by the GP to the physical therapist:
BMJ 2004;329:1377 (11 December), doi:10.1136/bmj.38282.669225.AE (published 19 November 2004)
Conclusions Relative to "best care" in general practice, manipulation followed by exercise achieved a moderate benefit at three months and a small benefit at 12 months; spinal manipulation achieved a small to moderate benefit at three months and a small benefit at 12 months; and exercise achieved a small benefit at three months but not 12 months.
To read the whole report click here.
C.C. Gunn, W.E. Milbrandt, A.S. Little, and K.E. Mason; Spine (Phila Pa 1976). 1980 May-Jun;5(3):279-91.
Eric Manheimer , MS ; Adrian White , MD, BM, BCh ;Brian Berman , MD ; Kelly Forys , MA ; Edzard Ernst , MD, PhD; Annals of internal Medicine, April 19, 2005 vol. 142 no. 8 651-663
Gert Bronfort 1 , Mitch Haas 2 , Roni Evans 1 , Brent Leininger 1 and Jay Triano 3 ,4
Your Osteopath will tell you
Kate and the other osteopaths have always put me straight when my back hurt.
Dr F Dupree
I'm much better after my treatment and back to work now. Thanks.
Emma F -
I was a little apprehensive, but quickly felt at ease with the osteopath who was very professional - he really explained what was wrong.
Mike B -
John sent me straight off to the Doctor who sent me to hospital. I am very Grateful, I didn't know my back pain was from an illness.
Joseph G -
Very professional - fitted me in a short notice and got surprising results.
David F -
Has helped a lot with my chronic back pain. You keep me going.
Jan R -
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