Intended for healthcare professionals

Rapid response to:

Primary Care

United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: effectiveness of physical treatments for back pain in primary care

BMJ 2004; 329 doi: (Published 09 December 2004) Cite this as: BMJ 2004;329:1377

Rapid Response:

Non-manipulative Relief for Chronic Back Pain

One simple pre-manipulative relief for chronic low back pain is provided by sleeping on a cot(bed) whose foot end has been elevated by six inches through placement of bricks or wood blocks under its legs at foot end. Lying down and resting in this engineered cranially sloping posture, alleviates pain to a considerable degree, in less than four to six weeks.

Though we have not quantified the range of relief through any study, this cost-effective and drugless method, is well worth a try - before more expensive or prolonged courses of therapeutics or physiotherapies become mandated or imperative. In parts of the third-world we come from, the services or ready availability of trained physiotherapists is expensive and premium; not to mention the total absence of chiropractors or their ilk in India.

Competing interests: None declared

Competing interests: No competing interests

23 March 2005
Arunachalam Kumar
Professor of Anatomy
Jairaj Kumar.C, and Garvit Chitkara
KMC Mangalore 575001 India