Posts Tagged: NICE guidelines

Have you thought about using the STaRT back tool?

The STaRT back tool is for risk stratisfication of back pain patients.  The recently produced NICE guidelines for low back pain recommended the use of a risk stratification tool as quoted below: Risk assessment and risk stratification tools 1.1.2 Consider using risk stratification (for example, the STarT Back risk assessment tool) at first point of contact with a healthcare professional for each new episode of low back pain with or without sciatica to inform shared decision-making about stratified management. 1.1.3 Based on risk stratification, consider: simpler and less intensive support Continue Reading »

NICE LBP guidelines part 2 – what do they mean for osteopaths?

This is part 2 of discussion of the new NICE guideline on low back pain and sciatica.  Part 1 looked at the content of the guidelines – what you should/shouldn’t be doing. Part 2 considers how the guideline applies to osteopaths. Do we have to follow guidelines? It is probably not a coincidence that an article was published in Manual Therapy in October titled Quiet Dissent: The attitudes, beliefs and behaviours of osteopaths who reject low back pain guidance.  This is an excellent piece of research for providing an insight Continue Reading »

2016 NICE Guidelines Low Back Pain – Part 1

The new NICE guidelines for the management of low back pain have been published.  This article is going to look at what the guidelines say and part 2 will look at how the guideline applies to osteopaths. The guidelines are now much simpler referring to just low back pain with or without sciatica and occasionally chronic or persistent low back pain. Low back pain and sciatica in over 16s First of all rule out any underlying conditions, refer if concerned. Risk stratification is recommended to identify those likely to improve Continue Reading »