2325 : HOW TO EVALUATE AND EFFECTIVELY TREAT LOW BACK PAIN

Author(s): 
Wende, Osnat
Text: 
Workshop
Low back pain is one of the most unrewarding complaints to treat within most western practices, as no real scientifically based approach to treatment exists. The literature dis cusses and compares various modes of treatment for low back pain as though it was one diagnosis, ignoring the fact that low back pain has several causes. There is currently no widely practised all encompassing method of evaluating low back pain clinically. I will attempt to show the physician how he can clinically differentiate between pain arising from the disc protrusion, spinal stenosis, gluteal bursitis, piriformis syndrome, myofascial pain syndrome, spondylolisthesis, inflammatory arthritis and most importantly, malignancy of all which can present as low back pain. Indications for imaging are discussed. Only once a specific diagnosis is made can appropriate therapy be prescribed. The aims of this workshop are: a) to teach family physicians a thorough technique of evaluating patients with low back pain, b) to discuss therapeutic options including traction, manipulation, intramuscular stimulation, epidural injection, exercises and surgery. Indications for these methods and contra-indications are discussed, and often a combination of these treatment methods may be used. c) to introduce spinal manipulation and intramuscular stimulation, both effective treatment methods which can easily be practised in the primary care clinic d) to demonstrate a few exercises which can be prescribed for acute and chronic low back pain.
Topic: Clinical Practice