Back Pain. What is back pain ?. Any pain in the back. It is usually characterized by dull, continuous pain and tenderness in the lower lumbar, lumbosacral, or sacroiliac regions. Sometimes referred to the leg, following the distribution of the sciatic nerve. How Big Is the Problem?.
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Any pain in the back. It is usually characterized by dull, continuous pain and tenderness in the lower lumbar, lumbosacral, or sacroiliac regions. Sometimes referred to the leg, following the distribution of the sciatic nerve.
Because the majority of physician visits for low back pain are to the GPs, family physician must has good skills in approaching, assessing & managing the patient with low back pain.
ربِ أوزعني أن أشكر نعمتك التي أنعمت علي وعلى والدي وأن أعمل صالحا ترضاه و أدخلني برحمتك في عبادك الصالحين
bed rest:herniating disc
It is never toooooo late for your
* MOST PATIENTS WITH LOW BACK PAIN DO NOT NEED INVESTIGATIONS.
* Are required only if the pain is associated with certain red flag symptoms or signs, which indicate a high risk of more serious underlying problems .
1- Starts before the age of 20 or after 50
2- Is persistent and a serious cause is
3- Is worse at night or in the morning , or when an inflammatory arthritis (e.g. ankylosing spodylitis) , infection or spinal tumour may be the cause.
4- Is associated with a systemic illness, fever
or weight loss
5- Is associated with neurological symptoms or
CT scanning when neurological signs and symptoms are present.
* Note : If red flags are present , MRI should be undertaken even if X-ray is normal.
- Required only when the pain is likely to be due to malignancy , infection or a metabolic disease
REASSURE THE PATIENT THAT THE PAIN WILL IMPROVE; DISABILITY IS NOT LIKELY
PROVIDE A CLEAR,CONFIDENT EXPLANATION FOR THE PAIN
INSTRUCTIONS ABOUT PRESCRIBED ACTIVITY LEVEL AND THERAPY
EXPLAIN LACK OF NEED FOR SPECIAL INVESTIGATIONS UNLESS RED FLAGS ARE PRESENT OR SYMPTOMS DO RESOLVE IN 6 WEEKS
DATE,TIME AND PURPOSE OF NEXT VISIT