Interventions for LBP: Difference between revisions
No edit summary |
No edit summary |
||
| Line 4: | Line 4: | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
== Education == | == Education == | ||
=== Language and labels === | |||
*Use functional explanations for pain (sprained back, non-serious back pain). Example: “Many people have back pain from time to time but it is rare for this to be caused by a specific problem. Mostly all that is needed is to get your back moving again and things will settle down. | |||
*”Avoid “spondylitis, degeneration, crumbling” etc. | |||
*Can be more specific sometimes, for example sciatica, if this leads to specific management. | |||
*Avoid investigating in the first place unless it is specifically indicated (link CKS). However if you do so be aware that the technical terms used in reports often alarm patients. Translate appropriately, examples: “normal for your age ”, “ the changes seen on your scan are like getting grey hair or wrinkles as you get older” | |||
*Prognosis: low risk – excellent, medium risk – good but guarded, high risk – suggest hope for improved function but don’t promise cure pain. | |||
=== Dealing with distress === | |||
*Suspend pre-judgment | |||
*Listen carefully / summarize points | |||
*Plan to address points | |||
*Care with language and labels | |||
*Be honest and realistic | |||
*Do not criticize the opinions of other clinicians who have seen the patient. | |||
*Provide information | |||
=== Activity promotion === | |||
*Activity promotion: beneficial, hurt doesn’t equal harm, minimise bed rest | |||
*Pacing: short, frequent bouts of activity rather than overdoing things and then regretting it the next day, rests between activity, do less than maximal capabilities and increase as tolerated. | |||
*Return to work as soon as possible, prolonged absence likely to lead to loss of employment. Use fit notes to support return to work and communicate suggestions to the employer. Help the patient negotiate an early return to work if at all possible.<br> | |||
== Analgaesia == | == Analgaesia == | ||
Revision as of 12:02, 25 October 2015
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - Admin, Kim Jackson, Simisola Ajeyalemi, WikiSysop, Claire Knott, Lucinda hampton, Jess Bell and 127.0.0.1
Education[edit | edit source]
Language and labels[edit | edit source]
- Use functional explanations for pain (sprained back, non-serious back pain). Example: “Many people have back pain from time to time but it is rare for this to be caused by a specific problem. Mostly all that is needed is to get your back moving again and things will settle down.
- ”Avoid “spondylitis, degeneration, crumbling” etc.
- Can be more specific sometimes, for example sciatica, if this leads to specific management.
- Avoid investigating in the first place unless it is specifically indicated (link CKS). However if you do so be aware that the technical terms used in reports often alarm patients. Translate appropriately, examples: “normal for your age ”, “ the changes seen on your scan are like getting grey hair or wrinkles as you get older”
- Prognosis: low risk – excellent, medium risk – good but guarded, high risk – suggest hope for improved function but don’t promise cure pain.
Dealing with distress[edit | edit source]
- Suspend pre-judgment
- Listen carefully / summarize points
- Plan to address points
- Care with language and labels
- Be honest and realistic
- Do not criticize the opinions of other clinicians who have seen the patient.
- Provide information
Activity promotion[edit | edit source]
- Activity promotion: beneficial, hurt doesn’t equal harm, minimise bed rest
- Pacing: short, frequent bouts of activity rather than overdoing things and then regretting it the next day, rests between activity, do less than maximal capabilities and increase as tolerated.
- Return to work as soon as possible, prolonged absence likely to lead to loss of employment. Use fit notes to support return to work and communicate suggestions to the employer. Help the patient negotiate an early return to work if at all possible.
Analgaesia[edit | edit source]
xx
Exercise Therapy[edit | edit source]
xx
Manual Therapy[edit | edit source]
xx
Electrotherapy[edit | edit source]
xx
Cognitive Behavioural Therapy[edit | edit source]
xx
Recent Related Research (from Pubmed)[edit | edit source]
Failed to load RSS feed from http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1l_vN2os9Imcz9GH5lt1cwoRWq94AMQ8reKNAg6q6vXlAdhg89|charset=UTF-8|short|max=10: Error parsing XML for RSS
