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Physical modalities should be considered including physical therapy, massage, acupuncture, transcutaneous electric nerve stimulation (TENS) units

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Low Back Pain

ACUTE: Treatment options include: heat [IID*], NSAIDs [IIA*], muscle relaxants [IIA*] and return to usual activities - bed rest is not recommended [IIIA*]. Aerobic and core strengthening exercise programs which minimally stress the back) can be started during the first 2 weeks for most patients with acute LBP. Recommend aerobic activities such as walking, biking, swimming and core strengthening exercises to rehabilitate and prevent recurrent low back pain. [IIC]
Recommend close clinical follow up until return to work or key life activities. If work disability persists at 2 weeks, consider referral to a specialist in back pain. Consider reassessment at 6 and 12 weeks. [IA*].

CHRONIC:

Manual Medicine

Manual Medicine - Where structure and function meets healing.
There are brief description of the main tenants manual medicine and links to research that support/question/refute these therapies.
Corrective Exercises - Web links to videos that guide individuals through exercises designed to correct muscle imbalances, improve posture, build strength and independently manage painful conditions.

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