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CAMs (General (Less 1ry prevention viable, so 2ry- exercise and education.…
CAMs
General
Less 1ry prevention viable, so 2ry- exercise and education.
Problems with treating with imaging, opioids and surgery when not necessary
Guidelines advise self-management, therapies alongside CAM. Less pharmo and surgery
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Methods
Acupuncture
Not recommended by NICE, however is for tension headaches.
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Trust
^ behaviour, lower symptoms, ^QoL
Contextual
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therapy alliance- education, compliance
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Chiro
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Joint gapping, ^ROM, Pain gate, Lower substance P, α + γ relax.
Manipulation does have some evidence, as part of Tx package
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Stats
Back pain (60% chiro) biggest proportion, neck then sciatica
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