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
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I. M. Doctor, M.D.
My City, State
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
Your Orthopaedic Surgeon—
Getting You Back In The Game
Throbbing, aching, shooting, stabbing, dull or sharp pain
Pain down one or both legs with very little pain in the lower back
Numbness or weakness in the legs
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 worse
Examination by an orthopaedic surgeon
Period of activity modification
Perhaps medication to decrease pain and inflammation
Complete inactivity is not advised for more than a couple of days
Increased muscle strength
Improve aerobic fitness
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 time
58 million ambulatory care visits for back and neck pain
82 million work days lost
Condition/Injury: Low Back Pain
Stress-related back pain
Arthritis of spine
Symptomatic disc degeneration
Spondylolisthesis & Spondylolysis
Lumbar spinal stenosis
Chronic back pain syndrome
Conchita Espinosa Chediak
Condition/Injury: Large herniated lumbar disc, severe back pain, and foot drop
Job requires frequent bending and lifting
Twisting body when lifting & carrying an object
Lifting and carrying in a hurry
Do not exercise regularly
Do not engage in recreational physical activity
Plan ahead, don’t hurry
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
Prepare to describe your symptoms
Gather medical history
Make list of medications
Write down concerns and questions and bring them
During Your Appointment
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?
Exercise is key
Aerobic conditioning program
Special back exercises
Active Therapies: Exercise
Active Therapies: Stretching
Involve multiple healthcare professionals
Different treatments at different times
Goal is to decrease pain, increase functioning
Patient must be highly motivated
Ultrasound and massage
Transcutaneous Electrical Nerve Stimulation (TENS)
Corsets and braces
Why are you recommending this medication?
How will this medication help me to feel better?
What are the benefits and when will we know if it works?
8 Important Questions to Ask Your Orthopaedic Surgeon
4. How do I take this medication?
5. What are the side effects? What to do if I have side effects? Are they temporary?
6. Is it okay to use generic?
7.Can I take this medication with others I’m currently taking?
8.How do I stop taking it safely?
Trigger point injections
Spinal epidural steroid injections
Selective nerve root blocks
What to show here?
Leg pain rather than back pain
Non-operative treatments are ineffective
Symptoms match test findings
Symptoms prevent daily living activities
Finding a Surgeon
Benefits and for how long?
What is procedure called?
How is it done?
Duration of recovery?
Assistance at home and how long?
Disability after surgery?
Return to normal activity?
American Academy of Orthopaedic Surgeons
6300 N. River Road
Rosemont, IL 60018