Doctors agree that physical treatments such as Osteopathy can be helpful as early as possible after the onset of symptoms. Four out of five people will be affected by backache at some time in their lives. Most back trouble responds well to osteopathic treatment. The National Institute for Health and Care Excellence (NICE) recommends manual therapy alongside exercise as an option for lower back pain, with or without Sciatica. Osteopaths are ideally suited to provide both.