Aims & Learning Objectives:
To provide an understanding of the epidemiology and natural history of back pain in a primary care setting.
After taking this unit, the student should be able to:
Undertake an evaluation of a patient presenting with low back pain to detect red flags and evidence of serious spinal pathology and to correctly categorise the patient according to the guidelines issued by the Royal College of General Practitioners. Examine all regions of the spine in the assessment of the patient with back and neck pain. Explain the psychosocial aspects of back pain and factors accounting for secondary disability. Evaluate the evidence base for the management of spinal pain and be able to select an appropriate treatment plan for a patient.
Content:
* Functional anatomy and pathology revision outlining current concepts of effects of ageing and injury on spinal structures. Explanation of sources and localisation of spinal pain with discussion of referred pain. Algorithms for differentiating between mechanical low back pain and serious 'red flag' conditions;
* Diagnosis treatment and management of back pain using clinical cases;
* Psychological and occupational barriers. Patient options for acute and chronic mechanical problems, surgery and other interventions for prolapsed intervertebral disc and spinal stenosis.
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