Additional Information
Book Details
Abstract
You are about to go on placement or have recently qualified and are about to treat patients complaining of low back pain. Questions such as 'What do I do?'; 'What do I look for'; 'How do I do it?' may suddenly become overwhelming. This pocketbook covers the examination, initial management and discharge options for patients with low back pain. It will fit easily into your pocket with information that is close to hand.
- clinically effective examinations
- reflects current clinical practice
- key points, charts, tables all backed up with links to other texts and websites
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Managing Lower Back Pain | iii | ||
| Copyright Page | iv | ||
| Contents | v | ||
| Dedication | vi | ||
| Foreword | vii | ||
| Acknowledgements | ix | ||
| The purpose of this book\r | 1 | ||
| Chapter 1:\rReview of low back pain, physiotherapy and physiotherapists | 5 | ||
| Introduction | 6 | ||
| Definition of Low Back Pain | 6 | ||
| The Recurrent Nature of LBP | 7 | ||
| The Traditional Pathway of Care for Patients with LBP\r | 13 | ||
| The Changing Role of Physiotherapy in the Management of LBP\r | 13 | ||
| How does Self-Referral Affect me? | 16 | ||
| References | 17 | ||
| Chapter 2: Identification and significance of red flags | 21 | ||
| What are Red Flags ?\r | 22 | ||
| What are the Most Common Red Flags? | 25 | ||
| How Prevalent are Red Flags in Patients with LBP? | 33 | ||
| Investigations – Which and When?\r | 34 | ||
| Recommended Additional Reading | 36 | ||
| References | 36 | ||
| Chapter 3: Identification and physiotherapy management of cauda equina syndrome | 39 | ||
| Setting the Scene | 40 | ||
| Who Gets CES? | 43 | ||
| Development of CES Pathway | 45 | ||
| CES Triage | 45 | ||
| Recommended Reading | 49 | ||
| References | 49 | ||
| Chapter 4: Identification and management of yellow flags | 51 | ||
| What are Yellow Flags? | 52 | ||
| Management of Yellow Flags | 62 | ||
| How can we Begin to do Something About Yellow Flags Once they are Identified? | 65 | ||
| Suggested Words/Phrases to use to Discourage Development of Psychosocial (Yellow Flag) Issues | 70 | ||
| Other Flags Associated with Yellow Flags\r | 70 | ||
| Additional Reading/Information | 72 | ||
| References | 73 | ||
| Chapter 5:\rThe subjective examination | 75 | ||
| Introduction | 76 | ||
| Where do you Start from? | 76 | ||
| Present Symptoms | 77 | ||
| Outcome Measures | 77 | ||
| Questioning | 91 | ||
| Tips to Help Avoid Traps During Assessments\r | 95 | ||
| Reflective Listening | 97 | ||
| Recommended Additional Reading | 100 | ||
| References | 100 | ||
| Chapter 6: Objective examination | 101 | ||
| Introduction | 102 | ||
| Observation | 104 | ||
| Range of Movement | 105 | ||
| Neurological Exam | 107 | ||
| Recommended Additional Reading | 118 | ||
| References | 118 | ||
| Chapter 7: An introduction to differential diagnosis in LBP patients | 121 | ||
| Possible Errors in Clinical Diagnosis | 122 | ||
| Differential Diagnosis of Leg Pain | 124 | ||
| Introduction to Differential Diagnosis of Referred Leg Pain | 124 | ||
| Lumbar Spine Pain and Pelvic Girdle Pain | 129 | ||
| Spinal Stenosis | 133 | ||
| Sacroiliac Joint Pain and Lumbar Spine Pain\r | 135 | ||
| Facet or Zygapophyseal Joints | 140 | ||
| Recommended Reading | 141 | ||
| References | 141 | ||
| Chapter 8: Pain and pharmacology | 143 | ||
| Important Information | 144 | ||
| A Definition of Pain: Acute and Chronic | 144 | ||
| Who has Pain? | 145 | ||
| How does Pain Go Away? | 146 | ||
| Dimensions of Pain | 147 | ||
| Adaptive and Maladaptive Pain | 149 | ||
| Pain Mechanisms | 151 | ||
| Pharmacological Management | 153 | ||
| Additional Reading/Information | 158 | ||
| References | 158 | ||
| Chapter 9: Physiotherapy treatments for LBP: clinical guidelines and the importance of evidence-based medicine | 161 | ||
| Introduction | 162 | ||
| Traditionally Used Physiotherapy Treatments for LBP | 162 | ||
| Physiotherapy Consensus on LBP Interventions | 167 | ||
| What Treatments Physiotherapists in the UK Actually give | 168 | ||
| Where can I go for Guidance and Support to Manage LBP Patients then: A Quick Guide to Clinical Guidelines\r | 169 | ||
| Evidence-Based Medicine | 185 | ||
| Recommended Additional Reading/References | 192 | ||
| References | 193 | ||
| Chapter 10: Examples of how specialist services can change the management of LBP | 199 | ||
| Working Backs Scotland | 200 | ||
| Australian Study | 200 | ||
| The Greater Glasgow Back Pain Service: Physiotherapy-Led Back Pain Service | 201 | ||
| References | 211 | ||
| Appendix: Possible answers to Clinical Challenges and Case Studies | 213 | ||
| CC 1.1 | 213 | ||
| CC 1.2 | 213 | ||
| CC 2.1 | 214 | ||
| CC 2.2 | 214 | ||
| CC 2.3 | 214 | ||
| CC 2.4 | 215 | ||
| CS 3.1 | 215 | ||
| CS 4.1 | 215 | ||
| CS 4.2 | 216 | ||
| CS 4.3 | 217 | ||
| CC 5.1 | 217 | ||
| CS 5.1 | 218 | ||
| CC 5.2 | 218 | ||
| CS 6.1 | 219 | ||
| CC 7.1 | 219 | ||
| CC 8.1 | 219 | ||
| CS 8.1 | 219 | ||
| CC 8.2 | 220 | ||
| CC 9.1 | 220 | ||
| CC 9.3 | 220 | ||
| CS 9.1 | 220 | ||
| CC 9.4 | 221 | ||
| Index\r | 223 |