AKT Question Relating to Rheumatology and Conditions of the Musculoskeletal System (Including Trauma)

You speak to a 44-year-old man on the telephone at the end of your morning surgery. He has suffered with persistent low back pain over the past 12 years. He asks for your opinion regarding a new treatment for back pain advertised in a national newspaper.

According to current National Institute for Health and Clinical Excellence (NICE) guidance, which ONE of the following management options is NOT recommended for persistent low back pain? Select ONE option only.

Acupuncture

Manual therapy

Structured exercise programme

Transcutaneous electrical nerve stimulation (TENS)

Tricyclic antidepressant

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