Detailed guides to painful problems, treatments & more

Do not offer

 •  • by Paul Ingraham
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Weekly nuggets of pain science news and insight, usually 100-300 words, with the occasional longer post. The blog is the “director’s commentary” on the core content of a library of major articles and books about common painful problems and popular treatments. See the blog archives or updates for the whole site.

For the record, these are all the verboten, “do not offer” treatments currently listed in the Nice guidelines (draft) for non-specific chronic low back pain:

  • belts or corsets
  • foot orthotics, rocker sole shoes
  • traction
  • acupuncture
  • ultrasound
  • PENS, TENS, interferential therapy
  • paracetamol alone, opioids, antidepressants, anticonvulsants
  • spinal injections, disc replacement, spinal fusion

Hardly a complete list, I’m sure, but these are the ones that made it to the current draft. (And yeah, “verboten” is obviously a bit of whimsical hyperbole. This is from something explicitly called “guidelines” after all. 😃)