Lumbar Pain

This week we are joined by Dr. Melissa Corso, a Sports Specialist Chiropractor and Certified Strength and Conditioning Coach.

Check out these resources:

Core Back Tool https://cep.health/clinical-products/low-back-pain/ 
The Centre for Effective Practice (CEP) has developed tools and education modules to help primary care physicians and nurse practitioners better manage patients who suffer from low back pain. This work builds from the Ministry of Health and Long-Term Care (MOHLTC) Low Back Pain Strategy, which began in 2012. The goal of this initiative was to reduce the number of unnecessary diagnostic tests, improve wait times, and enhance patient care. Feedback from primary care providers about the CORE Back Tool 2012 informed revisions to a 2016 update. Providers told us they wanted more information about the evidence, an expansion of the initial management options, more clearly integrated patient key messages, and improvements to the overall information flow to align with their decision-making processes.

https://www.isaec.org/ 
ISAEC (Ontario only) is an innovative, upstream, shared-care model of care in which patients receive rapid low back pain assessment, education and evidence-based self-management plans. 
Until ISAEC is fully rolled out to all primary care providers (PCPs), referral into the program is only available to patients whose family doctor or primary care nurse practitioner has enrolled in the program.  

https://oldiwh.iwh.on.ca/system/files/documents/pocket_evidence_summary_2009.pdf

The Cochrane Library @CochraneLibrary Acute low back pain is common, and causes pain and disability. Non-steroidal anti-inflammatory drugs #NSAIDs are often used in the treatment of acute #lowbackpain, but how effective and safe are they? https://buff.ly/3b6vwEX Here is the latest Cochrane evidence from  @CochraneBack
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013581/full

https://www.cochrane.org/CD008112/BACK_spinal-manipulative-therapy-for-chronic-low-back-pain


https://www.cochrane.org/CD005427/BACK_combined-chiropractic-interventions-for-low-back-pain