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Chronic Low Back Pain: Difference between revisions
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== Management == | == Management == | ||
Laerum et al outlined what a "[[Good Back Consultation|Good Back Consultation]]" entails, based on three interdisciplinary Norwedgian RCTs for chronic low back pain.<ref>Laerum E, Indahl A, Skouen JS. What is "the good back-consultation"? A combined qualitative and quantitative study of chronic low back pain patients' interaction with and perceptions of consultations with specialists. J Rehabil Med. 2006 Jul;38(4):255-62. doi: 10.1080/16501970600613461. PMID: 16801209.</ref> | Laerum et al outlined what a "[[Good Back Consultation|Good Back Consultation]]" entails, based on three interdisciplinary Norwedgian RCTs for chronic low back pain.<ref>Laerum E, Indahl A, Skouen JS. What is "the good back-consultation"? A combined qualitative and quantitative study of chronic low back pain patients' interaction with and perceptions of consultations with specialists. J Rehabil Med. 2006 Jul;38(4):255-62. doi: 10.1080/16501970600613461. PMID: 16801209.</ref> | ||
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*''Psychosocial discussion'': deal with possible correlation (in both directions) between daily life, job, family, coping, quality of life aspects, role function and the LBP | *''Psychosocial discussion'': deal with possible correlation (in both directions) between daily life, job, family, coping, quality of life aspects, role function and the LBP | ||
*''Treatment'': Encourage normal activity and avoiding rest. Empower the patient to take responsibility for their own rehabilitation. | *''Treatment'': Encourage normal activity and avoiding rest. Empower the patient to take responsibility for their own rehabilitation. | ||
==References== | |||
[[Category:Lumbar Spine]] | [[Category:Lumbar Spine]] | ||
[[Category:Presenting Complaints]] | [[Category:Presenting Complaints]] |
Revision as of 18:55, 4 September 2021
This article is a stub.
Management
Laerum et al outlined what a "Good Back Consultation" entails, based on three interdisciplinary Norwedgian RCTs for chronic low back pain.[1]
- Take them seriously
- Examination: explanation during the exam (what was being done and what was found)
- Education: Providing an understandable explanation for the pain given with conviction (exact medical diagnosis is not essential) and addressing misconceptions. He uses a disc injury explanation.
- Reassurance: given with conviction, address fears but cognitive reassurance is preferred over emotional which can create dependency.
- Psychosocial discussion: deal with possible correlation (in both directions) between daily life, job, family, coping, quality of life aspects, role function and the LBP
- Treatment: Encourage normal activity and avoiding rest. Empower the patient to take responsibility for their own rehabilitation.
References
- ↑ Laerum E, Indahl A, Skouen JS. What is "the good back-consultation"? A combined qualitative and quantitative study of chronic low back pain patients' interaction with and perceptions of consultations with specialists. J Rehabil Med. 2006 Jul;38(4):255-62. doi: 10.1080/16501970600613461. PMID: 16801209.