lower back pain Flashcards
1
Q
what is the 1st line rx for LBP?
A
NSAIDs e.g. naproxen
2
Q
what else should be co-prescribed for pts >45 years who are given NSAIDs?
A
PPIs
3
Q
what advice should be given to people with LBP?
A
- encourage self-mx
- stay physically active and exercise
4
Q
should a lumbar spine X-ray be offered for pts with LBP?
A
no
5
Q
when should an MRI be offered?
A
- only if the result is likely to change mx
- in pt where malignancy, infection, fracture, cauda equina or ankylosing spondylitis is suspected
6
Q
why is MRI the most useful imaging modality?
A
can see neurological/soft tissue structures
7
Q
for treating pts with sciatica, what rx should be followed?
A
NICE guidelines on neuropathic pain
8
Q
what can be given for acute and severe sciatica?
A
epidural injections of local anaesthetic and steroid
