Low Back Pain

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Introduction

 

 

The Case of...

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Differential Diagnosis

muscles/ligaments

facet joints

nerve root compression

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History and Physical Exam

  • history
  • physical exam

History

Physical Exam

DRE should always be done to assess for information

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Investigations

  • lab investigations
  • diagnostic imaging

Lab Investigations

 

Diagnostic Imaging

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Management

Physical or therapeutic exercise

Focus on active, rather than passive, exercise

 

medications

acetaminophen

NSAIDs

weak opioids, TCAs

tramadol

strong opioids

 

duloxetine (Skljarevski et al, 2010).

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Pathophysiology

For example, with disc herniation, pain is initially neuropathic, but over time, neuropathic pain

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Resources and References

 

 

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Topic Development

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