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The GP Show

Welcome to The Gp Show podcast "libsyn directory" page!  Please visit my full website; www.thegpshow.com that includes podcasts, the podcast notes with resources, a clinicians bookshelf split into the lifestyle and medical domains with a growing library of online resources (for patients and health professionals) including handouts, courses, apps, books, podcasts and more.

Join me, Dr Sam Manger MD, for real and in-depth conversations with guests, experts and advocates from around the world sharing knowledge, stories, insight and experience on a variety of health-related topics.  This podcast is specifically designed-with-love for health professionals and anybody else interested in health, science and medicine.

Please note: the Information on this site and in these podcasts is designed for informational purposes only and does not replace the relationship between a patient and his/her own physician and is not intended as medical advice. This information is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you saw or read on The GP Show Podcast and related pages. Always practice within your level of professional capabilities and scope of practice. This podcast does not give you the right to practice beyond your training.

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  1. All Episodes
  2. #1 Low Back Pain - Review of the treatment guidelines, differentials and role of imaging

#1 Low Back Pain - Review of the treatment guidelines, differentials and role of imaging

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