I. M. Doctor, M.D. My Office My City, State. UNDERSTANDING BACK PAIN. The information in this presentation was provided to the presenter by the American Academy of Orthopaedic Surgeons and may be modified. Endorsement of this presentation by the AAOS is not implied or inferred. Thank you to
My City, StateUNDERSTANDING BACK PAIN
The information in this presentation was provided to the presenter by the American Academy of Orthopaedic Surgeons and may be modified.
Endorsement of this presentation by the AAOS is not implied or inferred.
Thank you to
A. Herbert Alexander, MD
for his significant contributions to the
content of this presentation.
Orthopaedics and The Bone and Joint Decade
Types of back pain
Diagnosing the causes of back pain
Who is at risk for back pain?
MD who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)
The expert in treating the musculoskeletal system
The expert in maintaining musculoskeletal health
The expert in understanding both operative and non-operative treatment options
Back Pain presenter by the American Academy of Orthopaedic Surgeons and may be modified.
Your Orthopaedic Surgeon—
Getting You Back In The Game
Throbbing, aching, shooting, stabbing, dull or sharp pain presenter by the American Academy of Orthopaedic Surgeons and may be modified.
Pain down one or both legs with very little pain in the lower back
Numbness or weakness in the legsSymptoms
Pain down in the lower back & legs in certain positions such as standing or walking
Sleep problems, decreased energy, depression, and anxiety
Pain that stress and emotional issues causes or makes worseSymptoms
Examination by an orthopaedic surgeon as standing or walking
Period of activity modification
Perhaps medication to decrease pain and inflammation
Complete inactivity is not advised for more than a couple of daysGeneral Treatment
Rehabilitation Goals as standing or walking
Increased muscle strength
Improve aerobic fitnessGeneral Treatment
Abdominal wall muscles
Lower back pain is the one of the most commons common causes of missed work
Eight out of ten adults will experience back pain at some timeBurden of Disease
58 million ambulatory care visits for back and neck pain of missed work
82 million work days lostBurden of Disease
Condition/Injury: Low Back Pain
Herniated disc/sciatica of missed work
Stress-related back painDiagnosis
Arthritis of spine of missed work
Symptomatic disc degeneration
Spondylolisthesis & SpondylolysisDiagnosis
Spinal fractures of missed work
Lumbar spinal stenosis
Chronic back pain syndromeDiagnosis
Conchita Espinosa Chediak
Condition/Injury: Large herniated lumbar disc, severe back pain, and foot drop
Job requires frequent bending and lifting of missed work
Twisting body when lifting & carrying an object
Lifting and carrying in a hurryAre You At Risk?
Overweight of missed work
Do not exercise regularly
Do not engage in recreational physical activity
SmokerAre You At Risk?
Plan ahead, don’t hurry of missed work
Tighten stomach muscles
Move in close when placing object on high shelf
Lift with leg muscles
Spread feet shoulder distance apart
Primary Care Physicians
Before Your Appointment of missed work
Prepare to describe your symptoms
Gather medical history
Make list of medications
Write down concerns and questions and bring themSeeking Help
During Your Appointment of missed work
1. What should I expect from my treatment?
2. What effect will my treatment have on my daily activities?
3. What can I do to prevent further disability?Seeking Help
Exercise is key of missed work
Aerobic conditioning program
Special back exercisesActive Therapies
Active Therapies: Exercise of missed work
Active Therapies: Stretching of missed work
Pain Programs of missed work
Involve multiple healthcare professionals
Different treatments at different times
Goal is to decrease pain, increase functioning
Patient must be highly motivatedActive Therapies
Ultrasound and massage
Transcutaneous Electrical Nerve Stimulation (TENS)
Corsets and braces
Why are you recommending this medication? of missed work
How will this medication help me to feel better?
What are the benefits and when will we know if it works?Medication
8 Important Questions to Ask Your Orthopaedic Surgeon
4. How do I take this medication? of missed work
5. What are the side effects? What to do if I have side effects? Are they temporary?
6. Is it okay to use generic?Medication
8. How do I stop taking it safely?Medication
Trigger point injections taking?
Spinal epidural steroid injections
Selective nerve root blocksInvasive Conservative Treatments
What to show here?
Leg pain rather than back pain taking?
Non-operative treatments are ineffective
Symptoms match test findings
Symptoms prevent daily living activitiesSurgery May Be Your Choice When…
Finding a Surgeon
Benefits and for how long?Asking Questions About Surgery
What is procedure called?
How is it done?
Results?Asking Questions About Surgery
Duration of recovery? taking?
Assistance at home and how long?
Disability after surgery?
Return to normal activity?Asking Questions About Surgery
American Academy of Orthopaedic Surgeons
6300 N. River Road
Rosemont, IL 60018
Back Pain taking?