Back pain- BW 3 Tarun Flashcards
Back pain:
Case 1
- Basic MSK injury
- basic NSAIDS/paracteomol
- No imaging - complete waste of time
- 6 weeks
- Night pain
- Radicular pain- follows
Disc prolapse: / Sciatica
- > Back pain with leg pain often lasts longer - 6 weeks
- Regular simple analgesia
- Physiotherapy
- Emergency (cauda equina) need to rule out
Need to follow up!!!!
Back pain: Case 3
Pain at rest
age
Fracture/slipped/esteopenic fractures/
X-ray great start
CT MRI
DEXA scan -
Going to have alot of pain:
1) Need a stronger medication to assist with
Allied health:
1) OT- Falls assessment (very important)
2) Physiotherapy
- Passive management of back pain! (lowered mood) rather than active
- Big problems
- need good education
- Review pain clinic:
Capasacian patches:
Acute back pain: Explain
Visual summary of managemment of back pain:
- nsaids
- chiropractor
*
Natural history of acute back pain:
Acute back pain:
Types of pain:
Histoy
???
Symptoms of mechanicl pain
Mechanical back pain:
Red flags for back pain: List from tarun lecture
Emergency in back pain:
What are yellow flags for back pain? (explain list 4)
Disc herniation:
Explain:
Assessment? Reflexes? Prognosis?~
Outline examination for “back pain”.
1) Inspection - Look?
2) Movement - Quality and range?
3) Feel - Feel?
Management:
- Address patients fears
education
Imaging:
Ageing and Back findings: Read
Range of therapeutic measures:
More options the better
the more active patient
Other modalities:
What is spinal stenosis:
Whats the natural history:? Symptoms?
Chronic back pain:
Features of chronic pain:
chronic back pain: continued:
What are the 6ds for pain dysfunction:
explain
Take home messagse:
