Download Low Back Pain Component Suggestions submitted by Jennifer Sweeney, Americans for Quality Health Care (PDF: 15KB/1 page)

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Transcript 
From:
Jennifer Sweeney
Director, Americans for Quality Health Care
Sunday, February 22, 2009
Low Back Pain Subcommittee
I’ve done a review of the low back pain literature and I think the following should be
included in the basket of care:
1. Focused history (including an evaluation of psychosocial risk factors because
these predict the risk for chronic disabling low back pain).
2. Diagnosis and categorization (i.e. nonspecific low back pain, back pain potentially
associated with radiculopathy or spinal stenosis, or back pain potentially associated with
another specific spinal cause.)
3. Imaging or other appropriate tests for certain patients (those who have severe or
progressive neurologic deficits, or who may have cancer, infection)
4. Patient education including expected course of treatment (most patients will want
imaging, ex.) and effective self-care options. Clinicians
5. Patient education on lifestyle modifications ex. importance of being physically
active.
6. Depression screening and antidepressant prescribing.
7. Medication prescribing, together with self-care and back care education. Before
starting a patient on pharmacotherapy, clinicians should evaluate pain and
functional deficits at baseline.
8. Nonpharmacologic prescribing. For example; spinal manipulation for acute low
back pain, interdisciplinary rehabilitation, exercise therapy, acupuncture, massage
therapy, yoga, cognitive behavioral therapy for chronic or subacute low back pain.
Thanks, Jennifer Sweeney
[email protected]
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