Where to Get Help

Complementary and Alternative Providers

Massage Therapy

• Licensed in most jurisdictions
• Evidence supports short-term pain relief for chronic low back pain
• Works best as part of a broader program (combined with exercise)
• Generally low risk

Acupuncture

• Licensed in most countries
• NICE guidelines include acupuncture as an option for chronic pain
• Evidence shows modest benefits, though the mechanism is debated
• Low risk when performed by a licensed practitioner

Yoga and Tai Chi Instructors

• Multiple clinical trials support yoga and tai chi for chronic low back pain
• Look for instructors experienced with back pain patients
• Start with beginner/gentle classes
• Inform the instructor about your condition

Key principle: Complementary therapies work best alongside — not instead of — medical care and exercise.