| Manipulation Back exercises Physical Agents and Modalities Traction Transcutaneous Electrical Nerve Stimulation 
              (TENS) Shoe Insoles and Shoe Lifts Lumbar Corsets and Supports Trigger Point and Ligamentous Injections Acupuncture Epidural Steroid Injections Facet Joint Injections Biofeedback Group education: back school | Trigger Point and Ligamentous Injections
   
                |   | Limited evidence, in
      studies that included chronic patients, suggests that the efficacy of
      trigger point or ligamentous injections is equivocal. There is little
      evidence specifically for acute low back problems. (C) |   
                |   | Ligamentous and sclerosant
      injections are invasive and can expose patients to serious potential
      complications. (C) |  |