Intended for healthcare professionals

Letters Front line care for back pain

Front line musculoskeletal care

BMJ 2011; 342 doi: (Published 20 June 2011) Cite this as: BMJ 2011;342:d3683
  1. Nicolas J Snelling, doctor1
  1. 1Royal United Hospital, Bath BA1 3NG, UK
  1. nicolasjsnelling{at}

Having trained as an osteopath and then as a doctor, I agree that training in medical school for the management of back pain is poor1 and that physiotherapists, osteopaths, and chiropractors could provide a useful service to the NHS because they spend much longer studying musculoskeletal pain syndromes.

However, these clinicians are trained …

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