Low Back Pain And Sciatica: Management Of Non-s... May 2026

: The full NICE NG59 webpage includes the recommendations and research context.

: A high-level clinical summary updated for professional use.

The guideline emphasizes non-pharmacological treatments and self-management as the first line of care. Low back pain and sciatica: management of non-s...

: Consider group exercise programs (biomechanical, aerobic, or mind-body) specifically for flare-ups.

: Do not offer gabapentinoids, other antiepileptics, or oral corticosteroids, as evidence shows harm and no overall benefit. Invasive and Surgical Treatments : Epidurals : Consider for acute, severe sciatica. : The full NICE NG59 webpage includes the

You can access the official versions and summaries through these sources:

: Spinal decompression can be considered if non-surgical treatments fail and symptoms align with radiological findings. Where to Find the Full Document You can access the official versions and summaries

: Consider spinal manipulation, mobilization, or massage, but only as part of a package that includes exercise. Pharmacological Management :