Edinburgh Napier University

  First paragraph:
Disability associated with low back pain is an important public health problem. Clinical trials carried out in the Western world show conventional treatment to have, at best, modest effects,1–3 and international guidelines agree only on the need to advise patients to remain physically active and prescribe appropriate pain medication.4 Other treatments that are evidence based and recommended for chronic low back pain, such as exercise and cognitive behaviour therapy, depend on substantial commitment and lifestyle change. It is therefore not surprising that patients seek alternative and complementary medicine in their search for pain relief, and a paper from Taiwan by Hsieh and colleagues on p 696 reports a randomised controlled trial of one such therapy— acupressure.