Back Injuries: Getting Injured Workers Back to Work
Background Back problems are the seventh most common reason for seeking care in general practice in Australia. Despite medical advances, chronic disability from back pain has become a major contributor to the burden of disease in modern society.
Objective This article provides an overview of evidence-based management for workers presenting with acute low back pain, with the aim of minimising the risk of chronic disability.
Discussion Approximately 95% of cases of acute low back pain are non-specific. Serious spinal conditions are rare and can be identified by triaging for "Red Flags." A modern biopsychosocial approach does not require a specific patho-anatomic diagnosis for effective management. It is essential to reassure patients to stay active and to resume normal activities quickly - including a return to work. Screening for environmental and psychosocial "Yellow Flags" can identify patients at risk of poorer outcomes - so that additional early intervention can commence.
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Dr. John Low MBBS (UWA) Grad Dip OHS FAFOM Occupational Physician OccuMED ConsultingLabels: Back Pain
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