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The GP Show


Join GP and Medical Educator Dr Sam Manger MBBS BSc FRACGP FASLM covering a variety of topics with case studies, guideline reviews, guest interviews and more for medical doctors and allied health including general practitioners, family physicians, specialists, allied health, nurses, registrars/residents, medical students and anybody interested in health, science and medicine.

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Available on itunes and all podcast apps

Aug 3, 2017

In this episode we will review acute and chronic low back pain. 
 
•Overview of assessment of back pain
•Quick review of some red flags and yellow flags
•Review differential diagnosis in LBP
•Review of the evidence for some back imaging
•Review of radiation risk of some common imaging
•Screening tools for assessing risk of chronicity
•Review of management principles
•What is self management
•Acute vs chronic LBP management
•Review of latest guidelines and previous evidence for the 4 Ps (Physical, psychological, pharmacological, procedural)
 
References:
 

Annals of Internal Medicine, Noninvasive treatments for Acute, Subacute, and Chronic Back Pain, 2017, http://annals.org/aim/article/2603228/noninvasive-treatments-acute-subacute-chronic-low-back-pain-clinical-practice 

National Institute for health and care Excellence (2016). Low back pain and sciatica in over 16s: assessment and management. NICE guideline [NG59]. Retrieved from https://www.nice.org.uk/guidance/ng59

Deyo RA. Real help and red herrings in spinal imaging. N Engl J Med, 2013

http://www.imagingpathways.health.wa.gov.au/radiation/pages/jop_principles.html 

https://www.keele.ac.uk/sbst/ 

http://www.cochrane.org/CD001351/BACK_acupuncture-and-dry-needling-for-low-back-pain 

http://www.cochrane.org/CD004059/BACK_prolotherapy-injections-for-chronic-low-back-pain

Bardin, L D, King P, Maher C G. (2017). Diagnostic triage for low back pain: a practical approach for primary care MJA 206 (6) 3 April.
 
O'Sullivan P., Lin I.B. (2014). Acute low back pain. Beyond drug therapies. Pain Management Today; 1(1): 8-13. 15.
 
NSW Agency for Clinical Innovation (2016). Management of people with acute low back pain: model of care. Chatswood; NSW Health. Retrieved from https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0007/336688/acute-low-back-pain-moc.pdf