Acupuncture for back pain?

Hello guys, I was searching over the internet and found this https://www.aafp.org/patient-care/clinical-recommendations/all/back-pain.html
They are suggesting acupuncture (and more BS) for back pain despite low-quality evidence. WTF
Do you have any idea why? And what would be some guidelines recommended by you?
thank you, Filip

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FIlip,

I’d like to insert Trigger Point Dry Needling into the title Austin provided too.

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From the link (emphasis mine): “Nonpharmacologic treatment, including superficial heat, massage, acupuncture, or spinal manipulation, should be used initially for most patients with acute or subacute low back pain, as they will improve over time regardless of treatment.”

Hmmm. So the pain will improve regardless of treatment, yet they recommend some form of “treatment”. Sounds like they are fully aware of the placebo effect in this recommendation.

Further gold: “When pharmacologic treatment is desired, nonsteroidal anti-inflammatory drugs (NSAIDs) or skeletal muscle relaxants should be used.”

This certainly the first time I see a supposedly serious medical organisation referring to choice of treatment option as “desire”. Again, clearly they have to be self-aware here.

Such a strange guideline to say the least.

North York acupuncture clinic are good clinics that provide natural medication for reoccurring pain.