New guidelines for LBP

Exercise for people with low back pain says NICE in draft guidance

NICE is updating its 2009 guidance on the early management of low back pain and has today published draft recommendations for public consultation.

The draft guideline recommends exercise, in all its forms (for example, stretching, strengthening, aerobic or yoga), as the first step in managing low back pain.

Massage and manipulation by a therapist should only be used alongside exercise because there is not enough evidence to show they are of benefit when used alone.

The draft guideline also recommends encouraging people to continue with normal activities as far as possible.