Low Back Pain

Question 1

What are the 4 psychological comorbidities to low back pain?

Answer 1

Depression
Fear
Catastrophizing
Stress

Question 2

If you suspect a patient is depressed, what questionnaire should you provide them with?

Answer 2

PHQ-2 or PHQ-9

Question 3

If you suspect a patient is catastrophizing their pain, what questionnaire should you provide them with?

Answer 3

Pain Catastrophizing Scale
13 point outcome measure; greater than or equal to 30 is clinically relevant to levels of catastrophizing

Question 4

If you suspect your patient is fearful of LBP, what questionnaires could you give them?

Answer 4

FABQ- Fear Avoidance Belief Questionnaire

TSK- Tampa Scale for Kinesiophobia

Question 5

What are prognostic factors for developing recurrent LBP?

Answer 5

hx of previous episodes of LBP
excessive spine mobility
excessive mobility in other joints

Question 6

What are prognostic factors for developing chronic LBP?

Answer 6

presence of symptoms below the knee
psychological distress or depression
fear of pain movement or re-injury
low expectations of recovery
pain of high intensity
passive coping style