Updated of low back pain management in primary care
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Dada Santos M, Zarnowski Gutiérrez A, Salazar Santiz A. Updated of low back pain management in primary care. Rev.méd.sinerg. [Internet]. 2021Aug.1 [cited 2024Jul.22];6(8):e696. Available from: https://revistamedicasinergia.com/index.php/rms/article/view/696

Abstract

Low back pain is a very frequent symptom in primary care, both in external consultation and in the emergency service. It can have many causes, from mild to severe. However, in 90% of cases it will not be possible to find a specific cause of the pain, this will be called mechanical low back pain.

For an adequate diagnosis of low back pain, an anamnesis and a thorough physical examination are required, this will help us to find the etiology, rule out Red Flags and give proper management.

The management of mechanical low back pain will focus on improving the pain and quality of life of the patient, as well as reducing expenses in health services. To achieve this, the patient should propose stretching and strengthening exercises at home, taking the indicated medication and maintaining an adequate diet and exercise routine. The job of the doctor is to try to prevent acute low back pain from evolving to chronic, this is achieved with physical activity, avoiding bed rest, not suspending work, remaining active, discarding Yellow Flags and above all not conducting unnecessary medical studies.

https://doi.org/10.31434/rms.v6i8.696

Keywords

low back pain. acute pain. chronic pain. sick leave. primary health care.
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