Other treatments

The following treatments have a significant role in the management of back pain, although clearcut evidence for the efficacy of these modalities is still lacking.

• hydrotherapy

• transcutaneous electrical nerve stimulation (TENS)

• facet joint injection

• posterior nerve root (medial branch) blocks with or without denervation (by cryotherapy or radiofrequency)

• deep friction massage (in conjunction with mobilisation and manipulation)

acupuncture

• pain clinic (if unresponsive to initial treatments)

biofeedback

• gravitational methods (home therapy)

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