Chronic Low Back Pain
From WikiMSK
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.
- ↑ 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.
