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In Pain? Stay Active…?

NHS Offerings for Chronic Pain include talking therapies, group exercise, anti-depressant medication, acupuncture and advice to stay active (1). Even though it is well known that changing your diet will help (2), NICE do not allow doctors to give dietary advice for primary chronic pain.

Recently it has been shown that Spinal Manipulative Therapy does not immediately change pain (3). However, another research group found that using the appropriate manual therapy for the individual’s concern can quickly impact a pain experience (4).

Very recently a group of researchers in Sweden demonstrated that manual therapies for non-specific back and or neck pain is less costly and more beneficial than giving advice to stay active (5).

For those of us in the UK, the offerings your doctor is allowed, by NICE, to recommend to you are not going keep your body running smoothly. Because your body is learning it’s normal all the time. The longer you leave it the more ingrained bad movement habits can become.


Book your consultation today and think of it as an investment in a future older me.



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  1. NICE NG 193 (April 2021).
  2. Mihalko et al (2019). The Intensive Diet and Exercise for Arthritis Trial TBM 9;227-235
  3. Nim et al (2022). Pressure Pain Thresholds in a Real-World Chiropractic Setting. BMC (2022) 30:25
  4. Rodriguez-Huguet et al (2018). Effects of myofascial release on Pressure Pain Thresholds in Patients with Neck Pain. A Single Blind Randomised Controlled Trial. J Phys Med Rehab 97(1):16-22
  5. Aboagye et al (2022). Manual Therapy versus advice to stay active for nonspecific back and /or neck pain: A Cost Effectiveness Analysis. BMC 30:27
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