sentences:  "The New England Journal of Medicine"s 4 November 1999 issue concluded that patients with chronic low back pain can be treated effectively with manipulation.The United Kingdom's National Health Service says there is "limited evidence" that osteopathy "may be effective for some types of neck, shoulder or lower limb pain and recovery after hip or knee operations", but that there is no evidence that osteopathy is effective as a treatment for health conditions unrelated to the bones and muscles.Others have concluded that there is insufficient evidence to suggest efficacy for osteopathic style manipulation in treating musculoskeletal pain.