This is a Prerecorded Webinar and includes a CPD Certificate at completion.
Access to Course: 30 Days
- Access to the recorded Webinar: 1 Hour
- Resources: Manual
- CPD Certificate
Listen to Dr Mark Laslett’s webinar discussing specific painful lumbar spine diagnoses like discogenic, facetogenic & SIJ pain. It is possible, necessary or desirable? Presentation is followed by Q&A session.
Here are questions to consider:
- Is a specific diagnosis possible for back pain patients?
- How do we know what the cause of back pain is?
- Is a diagnosis necessary to guide management and treatment?
- When is it necessary?
- Does providing a diagnosis carry risks to the patient?
- Is diagnosis based on imaging like MRI?
- How do we use our assessment to arrive at a diagnosis?
- What is the difference between a clinical diagnosis and a reference standard diagnosis?
A diagnosis has three parts (AMP) see graphic
- Anatomical source of nociception
- The Mediators of the pain experience and disability
- The Pathology that causes the tissue to initiate nociception
How we know the cause of symptoms?
- Clinical Diagnosis: the identification of source, cause and mediators of the pain experience using demographic information, history, physical examination and simple/cheap tests like X-rays or routine blood tests
- Reference Standard Diagnosis: the best-known method of reaching a specific diagnosis. In addition to clinical diagnosis methods, this usually involves expensive and invasive diagnostic tests, like Hi-Tech Imaging or controlled anaesthetic blocks, plus a specialist interpretation of all the information.
What are the main sources of the painful lumbar spine? There are 5 basic categories
- The anterior column: discogenic or vertebral body pain
- The Lumbar facet joints
- The sacroiliac joint
- Central and foraminal stenoses
- The posterior column other than the facet joint (spondylolisthesis & Baastrups disease)