Chronic Low Back Pain: Difference between revisions

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== Medical Management (current best evidence)<br>  ==
== Medical Management (current best evidence)<br>  ==


Pharmacology
Pharmacology  


Biopsychsocial
'''Biopsychsocial'''
 
<span style="font-size:10.0pt;font-family:Helvetica;
mso-bidi-font-family:Helvetica;color:#1A1718">Chronic low back pain threatens
self-identity, as it can change coping patterns and the individual’s way of
thinking, with people often reporting feelings of helplessness and a loss of
self-esteem and experience of a hidden disability.<span style="mso-spacerun:yes">&nbsp; </span>When low back pain becomes chronic, it often does not respond to traditional biomedical treatments.<span style="mso-spacerun:yes">&nbsp; </span>Identification of psychosocial risk factors, or ‘yellow flags’, enable appropriate intervention to be incorporated into vocational rehabilitation treatment as a preventative measure against conditions such as chronic low back pain. Yellow flags are factors that increase the risk of developing or perpetuating long-term disability and work loss associated with low back pain.<span style="mso-spacerun:yes">&nbsp; </span>Assessment of these is encouraged in the early stages of intervention after work related injury.<span style="mso-spacerun:yes">&nbsp;&nbsp;</span><o:p></o:p></span>
 
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== Physical Therapy Management (current best evidence)  ==
== Physical Therapy Management (current best evidence)  ==

Revision as of 01:05, 14 April 2011

Welcome to Texas State University's Evidence-based Practice project space. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

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Search Strategy[edit | edit source]

Chronic, low back, pain

Definition/Description[edit | edit source]

Low back pain can be a disabling condition affecting nearly 60-80% of people.  These people that suffer from low back pain longer than 3 months are considered chronic, and can be attributed to more than 80% of all heath care cost. 

Epidemiology /Etiology[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Examination[edit | edit source]

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Medical Management (current best evidence)
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Pharmacology

Biopsychsocial

Chronic low back pain threatens self-identity, as it can change coping patterns and the individual’s way of thinking, with people often reporting feelings of helplessness and a loss of self-esteem and experience of a hidden disability.  When low back pain becomes chronic, it often does not respond to traditional biomedical treatments.  Identification of psychosocial risk factors, or ‘yellow flags’, enable appropriate intervention to be incorporated into vocational rehabilitation treatment as a preventative measure against conditions such as chronic low back pain. Yellow flags are factors that increase the risk of developing or perpetuating long-term disability and work loss associated with low back pain.  Assessment of these is encouraged in the early stages of intervention after work related injury.  <o:p></o:p>


Physical Therapy Management (current best evidence)[edit | edit source]

Intervention:

Spinal Manipulation

Exercise

Key Research[edit | edit source]

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Resources
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Clinical Bottom Line[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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