Lower Back Pain: Expert Guidance and Patient Empowerment

Primary Care UK: Let's Learn Together

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IN THIS EPISODE: Munir Adam discusses the common issue of lower back pain with an expert in the field who:

• starts by reminding us about the basics, red flags and then also the need for patient education and empowerment to manage their own pain, instead of relying solely on strong analgesia.
• He also discourages unnecessary spine surgery and advises avoiding gabapentin or pregabalin for lower back pain management, as they have been shown to have no beneficial effect.
• The discussion then shifts towards a newly developed implant technology called 'spinal cord stimulation,' which creates an electromagnetic field to block pain impulses.
• Managing low back pain discussion concludes with an insight into a residential, three-week pain management program aimed at those with severe psychosocial issues.

SPECIAL THANKS to our guest speaker:

Dr Adnan Al-Kaisy- Consultant in pain medicine MB ChB, FRCA, FPMRCA, FIPP
The episode was produced with input from Guys & St Thomas' Private Healthcare.
USEFUL LINKS:
Overview | Low back pain and sciatica in over 16s: assessment and management | Guidance | NICE

Dr Adnan Al-Kaisy - Guy's and St Thomas' Private Healthcare (guysandstthomasprivatehealthcare.co.uk)
Pain services - Overview | Guy's and St Thomas' NHS Foundation Trust (guysandstthomas.nhs.uk)
SEASON 2 is produced by the PCUK Team in partnership with Integrated Care Support Services supporting practices and ICBs with Projects, Training, Resourcing and back-office support. (www.integratedcaresupport.com)

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DISCLAIMER: This podcast is aimed at specified categories of clinical staff working in the UK, and the content provided is both time and location specific. The aim is to ensure information is accurate, up-to-date and comprehensive, but this is not guaranteed. Hosts, other contributors, and the organisations they represent do not accept liability for any actions, consequences or effects that result, directly or indirectly from the information provided.
Specifically, this podcast is NOT intended for use by the general public or patients and must not be used as a substitute for seeking appropriate medical or any other advice. Views expressed are the opinion of the speakers, is general advice only and should not be used as a substitute for seeking advice from a specialist. Healthcare professionals accessing information must use their own professional judgement, and accept full responsibility when interpreting the information and deciding how best to apply it, whether for the treatment of patients, or for other purposes.
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1. Lower Back Pain: Expert Guidance and Patient Empowerment (00:00:00)

2. Back pain and Primary Care roles (00:00:49)

3. Introduction and Guest Background (00:04:09)

4. Understanding the Magnitude of Lower Back Pain (00:05:18)

5. Initial Approach to Lower Back Pain in Primary Care (00:09:17)

6. Challenges in Medication Management for Lower Back Pain (00:12:20)

7. Importance of Lifestyle Changes and Exercise (00:14:28)

8. Referral to Secondary Care and Advanced Treatments (00:22:23)

9. Innovative Treatments: Spinal Cord Stimulation (00:35:41)

10. Cognitive Behavioral Therapy and Pain Management Programs (00:40:23)

11. Conclusion: Key Takeaways in Managing Lower Back Pain (00:42:36)

12. Disclaimer (00:45:18)