Spinal manipulation and other non drug treatments now recommended as first line treatments for back pain

Here is a recent article from the Harvard Medical School blog. 
I have been in practice for 27 years and I have for a long time said that if medications worked as well as advertised for back pain, I would have many less patients in my practice. Well the new research is bearing this out as we now know that acetaminophen (Tylenol) is almost worthless, NSAID's including ibufrophen ( Advil and others) are not beneficial for a majority of people, and even opioids (narcotic drugs such as Vicidon are much less effective than previously believed. 
The new guidelines from the American College of Physicians recommends spinal manipulation as with chiropractic care, heat, massage, acupuncture as first line treatments for acute back pain.
Had you heard about the new guidelines?
Here’s something completely different for low back pain