On 14 January 2016 the German Institute for Quality and Efficiency in Health Care (IQWiG) published the results of a search for evidence-based guidelines on the treatment of people with chronic back pain. The aim of the report is to identify those recommendations from current guidelines of high methodological quality that may be relevant for the potential new disease management programme (DMP) “Chronic back pain”. According to the results of the report the recommendations cover all important health care aspects and are largely consistent.
Besides drug and invasive therapy (e.g. injections in joints), many non-drug interventions are mentioned. In addition to massages, manual therapy, physical activity, physiotherapy, and yoga, these also include behavioural therapy. It is noticeable that the guideline authors commonly advise against certain interventions. This concerns, for example, massages, bed rest, transcutaneous electrical nerve stimulation (TENS) or therapeutic ultrasound.
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