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Low Back Pain - How Can We Help?

back pain edit21st February, 2012: Many treatments are available for low back pain and knowing which one is right for you can be a challenge. Our friendly reception staff are knowledgeable and will be able to advise you of the therapies on offer and point you in the right direction.

, Chiropractors and Physiotherapists are manual therapists trained to help treat musculoskeletal injuries and lower back pain is a prime example. Each discipline is trained to use a range of different techniques; exercises, soft tissue massage, mobilisation, manipulation, acupuncture and stretches, which may all be part of a successful treatment programme initiated by a manual therapist.

All of the practitioners at the Blackberry Clinic take a detailed case history and provide a thorough physical examination to determine the cause of your back pain. This then enables them to advise you on the best course of action to ensure that your pain is reduced as quickly as possible. If referral to another practitioner is deemed necessary, the wide range of specialists at the Blackberry Clinic makes this process quick and straightforward. As well as treating musculoskeletal injuries very well, our practitioners are highly skilled in detecting whether manual therapy is the best treatment option for your particular case, or whether onward referral/further investigation would be more beneficial. This may include x-ray, fluoroscopic examination, injection or prolotherapy treatment. You may find that your practitioner recommends a combination of therapies in order to best manage your pain.

Alongside manual therapy treatment sessions, your practitioner will give you home exercises and specific activity/lifestyle advice to ensure your return to normal activity is as swift as possible. At the Blackberry Clinic, we also have a number of exercise classes available including Pilates or one to one sessions, that can help in your journey back to full fitness. Our practitioners work closely with our gym staff in order to provide the best possible exercise advice and instruction, to ensure that patients overall health and fitness in terms of injury rehabilitation is met. Pilates exercises are associated with better movement and alignment resulting in less musculoskeletal problems. The Blackberry Gymnasium provides weekly pay as you go Pilates classes. To ensure maximal benefit is achieved we can provide 1 to 1 tuition beforehand.

In May 2009: The National Institute for Health and Clinical Excellence (NICE) published new guidelines to improve the early management of persistent non-specific low back pain. NICE assessed the effectiveness, safety and cost-effectiveness of available treatments for low back pain, and as a result, the proposed recommendation is to offer a course of manual therapy, including spinal manipulation, spinal mobilisation, massage and acupuncture.

The UK 'back pain, exercise and manipulation' (BEAM, 2004) trial was a randomised trial based on 181 general practices. It concluded that relative to 'best care' in general practice, manipulation followed by exercise achieved a moderate benefit at 3 months and a small benefit at 12 months. Spinal manipulation achieved a small-to-moderate benefit at 3 months and a small benefit at 12 months. Exercise achieved a small benefit at 3 months but not at 12 months. In terms of value for money it concluded that spinal manipulation with exercise therapy is a cost-effective addition to 'best care' for back pain in general practice.

Having up-to-date research to hand allows practitioners to utilise their skills in the best way, providing you with the highest quality of care.

Don't miss next week's blog: Pregnancy, Back Pain and Chiropractic.

Contributing Authors:

Shelley Doole DC MChiro


"Low back pain: Early management of persistent non-specific low back pain." National Institute for Health and Clinical Excellence. Web. 10 Jan. 2012. <http://publications.nice.org.uk/low-back-pain-cg88>.

United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: effectiveness of physical treatments for back pain in primary care. BMJ. 2004 Dec 11;329(7479):1377. Epub 2004 Nov 19.