Lower back pain CPG

Question 1

what is the definitiion of acute pain for this CPG?

Answer 1

less than 4 weeks old

Question 2

what is cauda equina syndrome?

Answer 2

arises from compresson of nerve roots in lower spinal cord. symptoms include saddle anesthseia - altered senstion around groin and inner thigh area, incontenece and leg weakness

Question 3

what can acute back pain be an indicator of?

Answer 3

aortic anurisum disceting
cancer

Question 4

if a paitent is suspected to have a vertable infection or cancer how should they be trasported?

Answer 4

can go by other means if demed appropriate

Question 5

when should you not proceed with this CPG?

Answer 5

pain is not isolated to lower back area - ie chest, abdoman or lower limb pain
suspected cauda equain- loss of bladder/bowel, saddle anastheia, lower limb numbness or weakness
suspected vertabral fracture- hx of trauma or osteoporosis or chronic steriod use
suspected AAA
pain unable to be controlled by oral anelgesics
pain suspected to be from cancer- hx unexplained wieghtloss
suspected vertebral infection- fever or recent infectiom, hx iv drug use or immunocompromised

Question 6

if the pt is able to ambulate and acess alternative care what sould be done?

Answer 6

provide pt with self-care advise
maintain mobility and avoid extended rest and use regualr oral anelgesics untill revewi