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Back to basics

Simple painkillers are better than spinal manipulation or anti-inflammatory drugs to cure a bad back, reported The Daily Telegraph and other newspapers. “Visiting a chiropractor for a bad back may be a waste of time and money,” the newspaper said. The Daily Mail adds, “Patients get better just as quickly if they simply stay active and take a mild painkiller such as paracetamol.” The story is based on a well-conducted study in people who had persistent, acute, mild back pain. The researchers compared stronger painkillers and spinal manipulation with continued conservative treatment (paracetamol and advice about avoiding bed rest and remaining active and so on). The study suggests that neither spinal manipulation nor strong painkillers are more effective than conservative treatment including paracetamol for acute back pain.

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