Publication of draft NICE guidelines on low back pain and sciatica

The National Institute of Clinical Excellence (NICE) has published its proposed updated draft guidelines for the management of low back pain and sciatica for consultation by stakeholder organisations, which includes the Institute of Osteopathy on behalf of the osteopathic profession.

The draft can be found at

In anticipation of the publication of this report, the iO and NCOR have set-up a working group to review in detail the evidence summary that has led to these recommendations and is now considering the draft in its entirety. We will then formulate a response on behalf of the profession. Whilst we still have to review the full report we are encouraged by the inclusion of a combination of manual therapy and exercise for low back pain.

The consultation period for these draft recommendations is short, the deadline for response being early May.

The review team will initially identify the key points of guidance that will potentially impact the profession, and subsequently seek views from the profession on these areas. Once we have incorporated views from the profession we will formalise our response on behalf of osteopathy.  We will keep osteopaths and stakeholders informed on our progress on this issue. In the meantime members may be interested to read NCOR’s initial response to the draft guidelines at