Lower Back Pain: Expert Guidance and Patient Empowerment

Primary Care UK: Let's Learn Together

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IN THIS EPISODE: Munir Adam discusses the common issue of lower back pain with an expert in the field who:

• starts by reminding us about the basics, red flags and then also the need for patient education and empowerment to manage their own pain, instead of relying solely on strong analgesia.
• He also discourages unnecessary spine surgery and advises avoiding gabapentin or pregabalin for lower back pain management, as they have been shown to have no beneficial effect.
• The discussion then shifts towards a newly developed implant technology called 'spinal cord stimulation,' which creates an electromagnetic field to block pain impulses.
• Managing low back pain discussion concludes with an insight into a residential, three-week pain management program aimed at those with severe psychosocial issues.

SPECIAL THANKS to our guest speaker:

Dr Adnan Al-Kaisy- Consultant in pain medicine MB ChB, FRCA, FPMRCA, FIPP
The episode was produced with input from Guys & St Thomas' Private Healthcare.
USEFUL LINKS:
Overview | Low back pain and sciatica in over 16s: assessment and management | Guidance | NICE

Dr Adnan Al-Kaisy - Guy's and St Thomas' Private Healthcare (guysandstthomasprivatehealthcare.co.uk)
Pain services - Overview | Guy's and St Thomas' NHS Foundation Trust (guysandstthomas.nhs.uk)
SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

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章节

1. Lower Back Pain: Expert Guidance and Patient Empowerment (00:00:00)

2. Back pain and Primary Care roles (00:00:49)

3. Introduction and Guest Background (00:04:09)

4. Understanding the Magnitude of Lower Back Pain (00:05:18)

5. Initial Approach to Lower Back Pain in Primary Care (00:09:17)

6. Challenges in Medication Management for Lower Back Pain (00:12:20)

7. Importance of Lifestyle Changes and Exercise (00:14:28)

8. Referral to Secondary Care and Advanced Treatments (00:22:23)

9. Innovative Treatments: Spinal Cord Stimulation (00:35:41)

10. Cognitive Behavioral Therapy and Pain Management Programs (00:40:23)

11. Conclusion: Key Takeaways in Managing Lower Back Pain (00:42:36)

12. Disclaimer (00:45:18)