Presentation on theme: "UNDERSTANDING BACK PAIN I. M. Doctor, M.D. My Office My City, State."— Presentation transcript:
UNDERSTANDING BACK PAIN I. M. Doctor, M.D. My Office My City, State
2 The information in this presentation was provided to the presenter by the American Academy of Orthopaedic Surgeons and may be modified. Endorsement of this presentation by the AAOS is not implied or inferred. Thank you to A. Herbert Alexander, MD for his significant contributions to the content of this presentation.
3 Understanding Back Pain Orthopaedics and The Bone and Joint Decade Types of back pain Diagnosing the causes of back pain Who is at risk for back pain?
4 Understanding Back Pain zSeeking help yTherapies to help back pain sufferers xMedications xSurgery xNonsurgical treatments xComplementary approaches
5 What is an orthopaedic surgeon? MD who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)
6 What is an orthopaedic surgeon? The expert in treating the musculoskeletal system The expert in maintaining musculoskeletal health The expert in understanding both operative and non-operative treatment options
7 Educating an Orthopaedic Surgeon College Medical School Internship Orthopaedic Residency Fellowship (optional) 2 Years Practice TOTAL (1) 2 16 years!
8 What do orthopaedic surgeons do? Diagnose Treat Medication Physical Therapy Exercise Brace Surgery Prevent
9 Back Pain Your Orthopaedic Surgeon— Getting You Back In The Game
10 Back Pain Structural Issues: Muscular Arthritic Disk Psychological Issues: Emotional stress Medical Issues: Infections Inflammatory conditions
11 Symptoms Throbbing, aching, shooting, stabbing, dull or sharp pain Pain down one or both legs with very little pain in the lower back Numbness or weakness in the legs
12 Symptoms Pain down in the lower back & legs in certain positions such as standing or walking Sleep problems, decreased energy, depression, and anxiety Pain that stress and emotional issues causes or makes worse
13 General Treatment Examination by an orthopaedic surgeon Period of activity modification Perhaps medication to decrease pain and inflammation Complete inactivity is not advised for more than a couple of days
25 Conchita Espinosa Chediak Age: 41 Condition/Injury: Large herniated lumbar disc, severe back pain, and foot drop Actual Clinical Case Example:
26 Large Disc Herniation
27 Are You At Risk? Job requires frequent bending and lifting Twisting body when lifting & carrying an object Lifting and carrying in a hurry
28 Are You At Risk? Overweight Do not exercise regularly Do not engage in recreational physical activity Smoker
Plan ahead, don’t hurry Spread feet shoulder distance apart Bend knees Lift with leg muscles Tighten stomach muscles Move in close when placing object on high shelf Don’t twist 29
30 Primary Care Physicians Orthopaedic Surgeons Spine Surgeons Seeking Help
31 Seeking Help Before Your Appointment Prepare to describe your symptoms Gather medical history Make list of medications Write down concerns and questions and bring them
32 Seeking Help During Your Appointment 1. What should I expect from my treatment? 2. What effect will my treatment have on my daily activities? 3. What can I do to prevent further disability?
33 Active Therapies Exercise is key Aerobic conditioning program Special back exercises
34 Active Therapies: Exercise
Active Therapies: Stretching 35
36 Active Therapies Pain Programs Involve multiple healthcare professionals Different treatments at different times Goal is to decrease pain, increase functioning Patient must be highly motivated
37 Passive Therapies Ultrasound and massage Water therapy Transcutaneous Electrical Nerve Stimulation (TENS)
38 Passive Therapies Traction Corsets and braces
39 Medication 1. Why are you recommending this medication? 2. How will this medication help me to feel better? 3. What are the benefits and when will we know if it works? 8 Important Questions to Ask Your Orthopaedic Surgeon
40 Medication 4. How do I take this medication? 5. What are the side effects? What to do if I have side effects? Are they temporary? 6. Is it okay to use generic?
41 Medication 7.Can I take this medication with others I’m currently taking? 8.How do I stop taking it safely?