Transcript Focus on Low Back Pain

Focus on Low Back Pain
MSK TTT 2
October 23, 2013
Dr. Julia Alleyne
What is the Focus ?
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Global Perspective
Review of Tools
Integration of Physical Examination
Format for Documentation
Tools to Teach
#1 All Musculoskeletal Conditions
Low back pain is the most prevalent of
musculoskeletal conditions; it affects
nearly everyone at some point in time
and about 4–33% of the population at
any given point.
Anthony Woolfe
Burden of major musculoskeletal conditions
Bulletin of the World Health Organization 2003;81:646-6
World Health Organization
2000-2010 Bone and Joint Decade
Low back pain is a leading cause of
disability. It occurs in similar
proportions in all cultures, interferes
with quality of life and work
performance, and is the most common
reason for medical consultations.
George E. Ehrlich
Bulletin of the World Health Organization 2003;81:671-676
Inflammatory Screen
Giving Patients Green Light Advice
1. Stay Active -Usual Activities
2. Reassurance and Explanation
3. Pain Control
4. Return to Work
5. Ongoing management
Gap Analysis
Includes:
Lacks
Gap Analysis
Includes:
Continuum specific
Key Messages
Red Flags
Yellow Flags
Investigations
Referrals
Medications
Lacks
• Mechanical approach
• Clinical Tools
• Office Strategies
• Patient Specific
Approach
Feedback
What about the Physical exam ?
How do we document ?
CORE Back Tool
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Tools to Teach