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No single treatment right for all back pain

I thought your article on NICE back pain guidelines was poorly written.

It is completely misleading to link spinal manipulation for low back pain and the possible risks of cervical manipulation leading to stroke and death.

My view is that lumbar spinal manipulation has a clear role in some cases of low back pain but back pain is a symptom and not a diagnosis.

Guidelines for treating symptoms and not diagnoses are bound to cause mixed opinions as no single treatment is correct for all causes of back pain.

Dr Nick Webborn, Sussex Centre for Sport and Exercise Medicine

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