Back Pain

Question 1

Back pain - common causes (2)

Answer 1

Muscle strain
Sleeping in awkward position

Question 2

Back pain - what is capsulitis

Answer 2

Also known as frozen shoulder, caused by inflammation of the shoulder tissue and formation of scar tissue, restricting movement

Question 3

Sciatica - explanation of condition

Answer 3

When there is inflammation or movement of a spinal disc, causing pressure to be applied to the nerve that runs down the leg

Question 4

Lumbago - explanation of condition

Answer 4

Lower back pain caused by straining of the muscle

Question 5

Back pain - referral (8)

Answer 5

Shortness of breath
Radiating around the chest
No improvement after 4 weeks
Signs of kidney infection
Associated with weight loss or change in bowel habits
Period pain
Persistent in middle age > risk of tumour
Children

Question 6

Back pain - OTC management: first-line (drug, formulation, how it works, extra instructions)

Answer 6

NSAIDs (ibuprofen)
Oral or topical
Works to relieve inflammation and pain
Ensure tablets are taken with food
Use for shortest duration as possible

Question 7

Back pain - other OTC management (not NSAIDs)

Answer 7

Avoid paracetamol monotherapy
Co-codamol - max 3 days, 18+

Question 8

Back pain - lifestyle (6)

Answer 8

Keep active and avoid too much bed rest
Use heat packs
Use pillows to help support legs when sleeping
Correct posture
Avoid sitting for too long
Gentle exercises