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Evaluation and Treatment of Acute LBP

Feb 2016 TOSH Staff Education

Aaron Swalberg

on 8 February 2018

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Transcript of Evaluation and Treatment of Acute LBP

Physical Therapy Evaluation and Treatment of Acute LBP

Treatment Based Classification
Practical Application
Important forms / Surveys
Oswestry (ODI)

Nerve Root Compression Signs
Peripheralization with Extension
Positive Cross SLR test
Feb 2016 JOSPT
Body Chart
Introduce a global view of treating patients with LBP
Review front line Red Flags
Evaluation and treatment of acute LBP
Treatment Based Classification System (TBC)
Case Senerios
Physical Exam / Treatment Lab
Aaron Swalberg DPT, OCS
TOSH Physical Therapy
Intermountain LBP Care Process Model
LBP Care Process Model
Shift from the Medical Model
A Paradigm Shift
To successfully treat patients with back pain we must shift from the Medical Model which is based on a pathoanatomical diagnosis to a system where we match individuals with an intervention to produce most successful outcome. We also need to take into account the psycosocial state of our patients

-80% of those who present with LBP are labeled as nonspecific low back pain (Lumbago, LBP, Sciatica,etc...)

Constitutional Symptoms:
Fever, Chills, Night sweats
Unexplained Weight Loss
Night Pain
History of Cancer
Recent Infection
Lymph node enlargement
IV drug use
History of TB exposure
Saddle Anesthesia
Bowel / Bladder dysfunction
Progressive / Severe Neurological deficit
Balance / coordination deficits
Abnormal Neurological examination
Red Flags
Extension tape
Education to avoid flexion
Education to avoid extension
Treatment Based Classification
STarT tool
Full transcript