Rejected at: May, 28, 2024
7:07 a.m.
Author:
alexlewis
Related Deck:
1659122273009
Rejected
Rationale for new note
NSLBP is more relevant than sciatia, and the initial treatment is pt education rather than nsaids. nsaids are a later treatment
Text
Initial treatment for acute non-specific lower back pain with or without radiculopathy is {{c1::patient education}}
Text
Initial treatment for <b>acute non-specific lower back pain</b> with or without <b>radiculopathy </b>is {{c1::patient education}}<br><div><div></div></div>
Extra
Patient education should include:
- an explanation of the nature of the pain and why imaging is not required—most back pain is caused by a simple strain of the back and a serious underlying cause is very unlikely; in most patients it is not possible to make a precise anatomical diagnosis on clinical or radiological grounds, or to identify a specific cause for the pain
- advice to stay active
- encouragement to continue to work or to return to work as soon as possible
- reassurance that recovery is likely to be quick even though pain may be severe
- an assessment and clarification of patient misconceptions about the nature of the pain, including addressing fear-avoidance behaviour and other unhelpful coping strategies that contribute to poor prognosis.
Note ID: 1553945042811
Extra
<div><div>Patient education should include:</div><ul><li>an explanation of the nature of the pain and why imaging is not required—most back pain is caused by a simple strain of the back and a serious underlying cause is very unlikely; in most patients it is not possible to make a precise anatomical diagnosis on clinical or radiological grounds, or to identify a specific cause for the pain</li><li>advice to stay active</li><li>encouragement to continue to work or to return to work as soon as possible</li><li>reassurance that recovery is likely to be quick even though pain may be severe</li><li>an assessment and clarification of patient misconceptions about the nature of the pain, including addressing fear-avoidance behaviour and other unhelpful coping strategies that contribute to poor prognosis.</li></ul><div>Note ID: 1553945042811</div></div>
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Pathoma
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Boards and Beyond
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!AK_UpdateTags::^temporary::ImageFix::19::DONE
!AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Neurology::7-NBME
#AK_Original_Decks::Step_2::Cheesy_Dorian_(M3)
#AK_Step2_v12::!Shelf::#Cards_AnKing_Did::7neuro
#AK_Step2_v12::!Shelf::Neuro::no_dupes
#AK_Step2_v12::!Shelf::Neuro::no_dupes::only_step2
#AK_Step2_v12::#B&B::09_Musculoskeletal::01_General_Topics::09_Low_Back_Pain
#AK_Step2_v12::#OME::02_Neurology::05_Back_Pain
#AK_Step2_v12::#OME::Clinical::02_Neurology::05_Back_Pain
#AK_Step2_v12::#Resources_by_rotation::FM::nbme::form_3
#AK_Step2_v12::#Resources_by_rotation::Neuro::nbme
#AK_Step2_v12::#Subjects::Neurology::05_Spinal_Cord::Sciatica
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