Backpain

Causes and definitions

  • Lumbago
  • Sciatica
  • Sacroiliac sprain

Examination

  • Dermatome distribution
  • Reflex changes
  • Saddle anaesthesia

Areas to discuss

  • Xray indications
  • Differentiating between organic/somatic/malingering
  • Intractable backpain
  • Management options
    Produce a flow chart for the management of backpain

Resources:

  • Northumberland back pain protocol
  • RCGP back pain protocol
  • Backpain folder
  • Examining the back
  • Management of back pain
  • Chronic low back pain – BMJ
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