Low Back Pain

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MedicineAndHealthUSA

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Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Common? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Common Are Serious Causes ? ,[object Object],[object Object],[object Object]

Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object]

Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Referred pain ,[object Object],[object Object],[object Object],[object Object],[object Object]

Degenerative and Structural ,[object Object],[object Object],[object Object]

Inflammatory Conditions ,[object Object],[object Object],[object Object],[object Object]

Infections ,[object Object],[object Object],[object Object],[object Object]

Metabolic Bone Disease ,[object Object],[object Object],[object Object]

Neoplasm ,[object Object],[object Object]

Red flags ,[object Object],[object Object],[object Object]

$Red flags for spine fracture ,[object Object],[object Object],[object Object]$

Rx –suspected spinal # ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Red flags for cancer or infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rx –suspected cancer or infection ,[object Object],[object Object],[object Object],[object Object],[object Object]

Red flags for cauda equina syn. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Rx-suspected Cauda equina syn. ,[object Object]

Yellow Flags ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How do I know my patient has simple low back pain? ,[object Object],[object Object],[object Object],[object Object]

Chronicity ,[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object]

Table 1 . Questions for disability assessment. Dress: help required with footwear Dressing? Sexual activity reduced or curtailed Sex life? Sleep disturbed by pain at least twice a week Sleeping? Miss or curtail social activities (excluding sport) Socializing? Travel less than 30 minutes Travelling ? Walk less than 30 minutes or 1-2 miles Walking? Stand in one place: less than 30 minutes Standing? Sit in an ordinary chair: less than 30 minutes Sitting? Lift 15-20 kg, heavy suitcase, 3- to 4-year-old Bending, lifting? Standard limits Does back pain limit you in:

Rx of Simple Low Back Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Drug treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Not recommended Rx

What do I do if it remains after 4-6 weeks? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

not responding to analgesia ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence based medicine ,[object Object]

Evidence …. ,[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object]

NICE Referral guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Low Back Pain

1. Low Back Pain Dr.Kishore Nallapu

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30. Table 1 . Questions for disability assessment. Dress: help required with footwear Dressing? Sexual activity reduced or curtailed Sex life? Sleep disturbed by pain at least twice a week Sleeping? Miss or curtail social activities (excluding sport) Socializing? Travel less than 30 minutes Travelling ? Walk less than 30 minutes or 1-2 miles Walking? Stand in one place: less than 30 minutes Standing? Sit in an ordinary chair: less than 30 minutes Sitting? Lift 15-20 kg, heavy suitcase, 3- to 4-year-old Bending, lifting? Standard limits Does back pain limit you in:

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Low Back Pain

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Low Back Pain