Understanding back pain What yu need t knw abut yur wn back Patricia Zheng, MD Assistant Prfessr Nnperative Spine and Physiatry Department f Orthpedic Surgery 2 Graphics: ;https://www.facebk.cm/auntyacid/; http://www.thelancet.cm/jurnals/lancet/article/piis0140-6736(16)31012-1/fulltext 1 [fter text here]
3 Dijken CB-V, Fjellman-Wiklund A, Hildingssn C. Lw back pain, lifestyle factrs and physical activity: a ppulatin-based study. J Rehabil Med. 2008;40:864 9. di: 10.2340/16501977-0273. Radmap Back pain myths Diagnsing back pain Management ptins Risk factrs yu can cntrl 4 Graphics: Creative Cmmn 2 [fter text here]
Radmap Back pain myths Diagnsing back pain Management ptins Lifestyle changes fr pain management 5 Graphics: Creative Cmmn Bed rest is gd fr back pain Sleeping Beauty Neuschwanstein Castle, Germany 6 Presentatin Title 3 [fter text here]
7 http://www.nejm.rg/di/full/10.1056/nejm199502093320602 Bed rest Exercise Nrmal care 8 http://www.nejm.rg/di/full/10.1056/nejm199502093320602 4 [fter text here]
Disc degeneratin is a disease. Prfessr Ludwig Vn Drake Vienna, Austria 9 Presentatin Title 10 https://rthinf.aas.rg/en/diseases--cnditins/herniated-disk-in-the-lwer-back/ 5 [fter text here]
11 https://www.leafscience.rg/skin-aging/ 12 https://www.ncbi.nlm.nih.gv/pmc/articles/pmc3579079/ 6 [fter text here]
13 https://www.ncbi.nlm.nih.gv/pmc/articles/pmc3579079/ If we d mre tests, we can always find the cause f the back pain. Gastn Likely France, but never stated 14 Presentatin Title 7 [fter text here]
Cancer/fracture/infe ctin/ther 3% Degenerative disc/arthritis/spinal stensis/sclisis 27% Unknwn 70% CAUSES OF BACK PAIN 15 Presentatin Title Radmap Back pain myths Diagnsing back pain Management ptins Risk factrs yu can cntrl 16 Graphics: Creative Cmmn 8 [fter text here]
Barriers t diagnsis Multiple pain surces Lack f pain--meter Difficult t study 17 Graphics: Creative Cmmn Barriers t diagnsis Multiple pain surces Lack f pain--meter Difficult t study 18 Graphics: Creative Cmmn 9 [fter text here]
19 https://rthinf.aas.rg/en/diseases--cnditins/herniated-disk/ 20 Presentatin Title 10 [fter text here]
21 Presentatin Title Barriers t diagnsis Multiple pain surces Lack f pain--meter Difficult t study 22 Graphics: Creative Cmmn 11 [fter text here]
23 https://radipaedia.rg/cases/nrmal-lumbar-spine-radigraphs 24 https://radipaedia.rg/cases/nrmal-lumbar-spine-mri 12 [fter text here]
25 https://www.ncbi.nlm.nih.gv/pmc/articles/pmc4431025/ Barriers t diagnsis Multiple pain surces Lack f pain--meter Difficult t study 26 Graphics: Creative Cmmn 13 [fter text here]
Natural histry f back pain Pain Time 27 Presentatin Title 28 Presentatin Title 14 [fter text here]
Radmap Back pain myths Diagnsing back pain Management ptins Risk factrs yu can cntrl 29 Graphics: Creative Cmmn Treatment 30 http://annals.rg/aim/fullarticle/2603228/nninvasive-treatments-acute-subacute-chrnic-lw-back-painclinical-practice 15 [fter text here]
Given that mst patients imprve ver time regardless f treatment, clinicians and patients shuld select npharmaclgic treatment [and] nnsteridal antiinflammatry drugs American Cllege f Physicians 31 http://annals.rg/aim/fullarticle/2603228/nninvasive-treatments-acute-subacute-chrnic-lw-back-painclinical-practice Supprt yurself 32 16 [fter text here]
Over the cunter Anti-inflammatries Ibuprfen 600mg 3x/day Naprxen 220mg Take with fd and adequate hydratin Talk t yur physician Heart risk Kidney risk GI bleed risk 33 Graphics: Creative Cmmn Over the cunter Tylenl 500 r 650mg every 6 hurs; stay under 3000mg/day Careful if liver cnditins Tpicals Icy/ht ± lidcaine 34 Graphics: Creative Cmmn 17 [fter text here]
Cmplementary Care Chirpractry Acupuncture Massage therapy 35 Graphics: Creative Cmmn When t see a physician Uncntrlled pain, wrse at night, nt imprving Unintended weight lss, fever, chills Weakness, numbness r tingling in legs Truble with walking Truble with ging t the bathrm (bwel/bladder) 36 Graphics: Creative Cmmn 18 [fter text here]
When t see a physician Cancer 0.7% Infectin 0.01% Fracture 4% 37 http://annals.rg/aim/fullarticle/736814/diagnsis-treatment-lw-back-pain-jint-clinical-practice-guideline-frm What yur physician can ffer? Prescriptin Medicatin Therapy Interventins Surgeries 38 19 [fter text here]
Prescriptin Medicatin Anti-inflammatries Opiids Nnpiid pain medicatins Gabapentin/pregablin Antidepressants Anticnvulants 39 Therapy Physical therapy Cgnitive behaviral therapy 40 20 [fter text here]
41 https://www.facebk.cm/auntyacid/ 42 Presentatin Title 21 [fter text here]
Radmap Back pain myths Diagnsing back pain Management ptins Risk factrs yu can cntrl 43 Graphics: Creative Cmmn Lifestyle chices fr yur back 44 22 [fter text here]
45 Cnclusin Back pain is cmmn and mstly self-limiting A specific cause is ften difficult t identify Self management is a gd first step 46 23 [fter text here]
47 24 [fter text here]