NHS临床指南 Are you getting the best treatment for your low back pain.ppt

Are you getting the best treatment for your low back pain? ;Who are we?;Why are we here?;Have you had low back pain?;What is back pain?;What causes back pain?;Should I see my doctor about my back pain?;How can I help myself?;Why do back problems become chronic?;What is the outlook for back pain?;How are back problems diagnosed?;What treatments are there for back pain?;Myths for treatments!;What if my back pain is affecting my work?;What exercises can I do?;Research and new developments for back pain;Pain on coughing Pain radiating to the leg or sciatica Pain worse on standing Pain worse when lying Physical activity Restricted spinal movements at presentation Self-rated health / Well-being Smoking Somatization Straight-leg raising tests of less than 60° in either leg Unemployment Work absence Workers compensation status ;Pain on coughing Pain radiating to the leg or sciatica Pain worse on standing Pain worse when lying Physical activity Restricted spinal movements at presentation Self-rated health / Well-being Smoking Somatization Straight-leg raising tests of less than 60° in either leg Unemployment Work absence Workers compensation status ;Referred leg pain;Screening for risk factors;Grouping patients;NEW model (STarT Back) ;Low risk 55%;Targeted treatment;Are we working to best practice?;;George’s story ;Acknowledgements;Questions ?