Inclusion criteria | Exclusion criteria |
---|---|
Participants with chronic (≥3 months) or recurrent (≥3 episodes in previous 12 months) LBP of mechanical origin with/without radiation to the lower limb | Currently or having received treatment for CLBP within the previous 3 months |
Males/females between 18–65 years | Red flags indicating serious spinal pathology, e.g. cancer, cauda equina lesion |
No spinal surgery within the previous 12 months | Radicular pain indicative of nerve root compression ** |
Participants deemed suitable by their GP to carry out an exercise programme | Participants diagnosed with severe spinal stenosis, spondylolisthesis, fibromyalgia |
Participants deemed suitable by their GP to receive acupuncture treatment | History of systemic/inflammatory disease, e.g. rheumatoid arthritis |
Participants willing to attend for a 6-week treatment programme of exercise and manual AA | Concomitant medical condition that contraindicates acupuncture |
Fluency in English (verbal and written) | Participants with acute (< 6 weeks) or subacute LBP (6–12 weeks), provided that they have experienced < 3 LBP episodes during the previous 12 months |
Access to a telephone (for follow-up support) | Previously received auricular acupuncture |
Participants categorised as 'low' or 'moderate' activity levels on the International Physical Activity Questionnaire (IPAQ) | Participants with any confounding conditions such as a neurological disorder or currently receiving treatment for cancer |
 | Road traffic accident causing LBP |
 | History of psychological or psychiatric illness |
 | Participants having multiple body and/or ear piercings |
 | Fear of needles |