The GPs Problem. LOW BACK PAIN . The GPs Problems. Lots of patients Precise diagnosis is difficult Changing guidelines - triage - what helps and what doesn’t? Can we help those with chronic pain?. Lots of patients. Back pain reported by 60% people at some time in their life
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Improved management of Acute LBP
Improved management of Chronic LBP
Anatomical complexity - vertebrae/discs/ligaments/
“The mobile segment” - discs
- facet joints
- muscles and ligaments
at each level = indissoluble mechanical entity
“Within 6 weeks of onset of acute or recurrent low back pain, manipulation provides better short term improvement in pain and activity levels and higher patient satisfaction than the treatments to which it has been compared”
Trigger point injections
Facet joint injections
- what helps and what doesn’t?