Oct 17 2024 72 mins
In this podcast episode, Dan and Juz explore a step-by-step approach to managing lower back pain. They begin with busting some significant yet persistent myths when it comes to patient recovery, and continue the conversation by identifying key patient concerns, focusing on red flags and understanding their ability to cope. For pain that is manageable and under three months in duration, they dive into the conservative treatment pathway. As pain becomes more long-lasting, they delve into appropriate medications, diagnostic considerations, potential investigations and referrals. The episode concludes with insights on differentiating between leg and back pain, offering targeted treatments based on the pain's location, whether it be hips, nerves, facets, discs, or sacroiliac joints. Listen to be able to better understand and advocate for your presentation as a patient, and more efficiently identify and treat as a physician.
Resources:
www.resilientwarriorcoachingllc.com/neurotechniques
Timestamps:
00:00 Official Intro
00:18 Intro
02:14 What the algorithm is based on
03:17 Where are you within the algorithm?
04:07 START
04:41 Conservative Management
05:44 Coping
06:21 5 Point Structure - How are you?
07:23 Red Flags
10:59 Pain less/greater than 3 months
12:30 Where does it come from?
18:17 Consequences of Persistence of Pain
20:25 Next Myth - You can't diagnose lower back pain
22:17 Diagnostic Block
24:26 Conservative Elements: How do you move through it?
25:18 Self-Management
28:02 What's Pacing?
30:31 Goal Setting
32:59 Analgesic Options
34:31 Alter neuropathic component of pain
36:41 Review
37:02 What's going on for the patient?
37:43 Do they have any red flags?
39:50 Diagnosing
43:15 referral to the surgeon
43:54 Back Pain is Worse than Leg Pain
46:15 Back pain rules of thumb
48:03 Different structures refer pain to
48:58 point to their pain
51:54 facet joint pain
55:57 Disc Pain
01:01:49 Sacriliac Joints
01:07:20 hips
01:08:37 Wrapup
01:11:43 Disclaimer