Moderator: Alison A. Stout, DO
Low back pain is often described as a diagnosis and many guidelines exist for suggested treatment restrictions. These guidelines often fall short of providing useful clinical practice recommendations. Virtually none of these guidelines discuss subgrouping patients with low back pain into more specific groups before treatment. Yet, several different methods and tools for subgrouping patients with low back pain for better treatment outcomes are available. Additionally, the shortcomings of RCTs for the study of low back pain are not addressed by these guidelines. This session will address these factors.
Upon completion of this session, participants should gain strategies to:
- Utilize straightforward clinical methods for identifying psychosocial yellow flags;
- Know lumbar facet/SIJ pre-test probability (including relationships between age, gender, and body mass index and the source of LBP).>
- Identify physical examination maneuvers that can help subgroup low back pain patients for treatment;
- Define nocebo/placebo, regression to the mean and categorical data.
Agenda
Introduction and Objectives
Alison A. Stout, DO
Clinically Sub-grouping Low Back Pain: Psychosocial Factors
Alison A. Stout, DO
Clinically Sub-grouping Low Back Pain: Physical Therapy Methods: MDT and Others
Ryan A. Tauzell, PT, MA, Cert. MDT
Clinically Sub-grouping Low Back Pain: By Physical Examination, Radiographically and with Diagnostic Injections
Benoy V. Benny, MD
Placebo/Nocebo, Natural History, Regression to the Mean and Categorical Data in Clinical Practice versus RCTs
Jerome Schofferman, MD
Discussion, Question & Answer