Interventions for Low back pain

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Public Health Function
Level of Care
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Age Cohort: 25 - 59 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Community awareness on prevention and aggravating factors of LBP
  • Exercise
  • Weight loss

Recognition of low back pain signs and symptoms

  • Analgesics
  • Exercise
  • Referral to the next level for persistent LBP
  • Self-management education
  • Physical exercise
Primary Care
  • Patient education on staying active, avoiding aggravating movements, and return to regular activity as soon as possible
  • Exercise
  • Exercise with activity-specific education programs
  • Weight loss
  • History
  • Physical examination
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Referral to the next level for persistent LBP
  • Self-management education
  • Physical exercise
Referral Facility: General
  • Guidance and counselling on exercise with activity-specific education programs and weight loss
  • History
  • Physical examination
  • Identification of red flag features
  • X-ray
  • C-reactive protein (CRP)
  • Erythrocyte sedimentation rate (ESR)
  • Complete blood count (CBC) Lactate dehydrogenase and uric acid tests
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Self-management education
  • Physical exercise
Referral Facility: Specialist
  • Patient education on staying active, avoiding aggravating movements, and return to regular activity as soon as possible
  • Guidance and counselling on exercise with activity-specific education programs and weight loss
  • History
  • Physical examination
  • Identification of red flag features
  • X-ray
  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • C-reactive protein (CRP)
  • Erythrocyte sedimentation rate (ESR)
  • Complete blood count (CBC)
  • Blood cultures
  • Lactate dehydrogenase and uric acid tests
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Injection therapy
  • Surgery
  • Self-management education
  • Physical exercise
 
Age Cohort: 60+ years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Community awareness on prevention and aggravating factors of LBP
  • Exercise
  • Weight loss
  • Recognition of low back pain signs and symptoms
  • Analgesics
  • Exercise
  • Referral to the next level for persistent LBP
  • Self-management education
  • Physical exercise
Primary Care
  • Patient education on staying active, avoiding aggravating movements, and return to regular activity as soon as possible
  • Exercise
  • Exercise with activity-specific education programs
  • Weight loss
  • History
  • Physical examination
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Referral to the next level for persistent LBP Secondary level
  • Self-management education
  • Physical exercise
Referral Facility: General
  • Patient education on staying active, avoiding aggravating movements, and return to regular activity as soon as possible
  • History
  • Physical examination
  • Identification of red flag features
  • X-ray
  • C-reactive protein (CRP)
  • Erythrocyte sedimentation rate (ESR)
  • Complete blood count (CBC)
  • Lactate dehydrogenase and uric acid tests
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Self-management education
  • Physical exercise
Referral Facility: Specialist
  • Patient education on staying active, avoiding aggravating movements, and return to regular activity as soon as possible
  • Guidance and counselling on exercise with activity-specific education programs and weight loss
  • History
  • Physical examination
  • Identification of red flag features
  • X-ray
  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • C-reactive protein (CRP)
  • Erythrocyte sedimentation rate (ESR)
  • Complete blood count (CBC)
  • Blood cultures
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Injection therapy
  • Surgery
  • Self-management education
  • Physical exercise
 
Age Cohort: 12 - 24 years
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Community awareness on prevention and aggravating factors of LBP
  • Exercise
  • Weight loss
  • Recognition of low back pain signs and symptoms
  • Analgesics
  • Exercise
  • Referral to the next level for persistent LBP
  • Self-management education
  • Physical exercise
Primary Care
  • Patient education on staying active, avoiding aggravating movements, and return to regular activity as soon as possible
  • Exercise
  • Exercise with activity-specific education programs
  • Weight loss
  • History
  • Physical examination
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Referral to the next level for persistent LBP
  • Self-management education
  • Physical exercise
Referral Facility: General
  • Patient education on staying active, avoiding aggravating movements, and return to regular activity as soon as possible
  • Guidance and counselling on exercise with activity-specific education programs and weight loss
  • History
  • Physical examination
  • Identification of red flag features
  • X-ray
  • C-reactive protein (CRP)
  • Erythrocyte sedimentation rate (ESR)
  • Complete blood count (CBC)
  • Lactate dehydrogenase and uric acid tests
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Self-management education
  • Physical exercise
Referral Facility: Specialist
  • Patient education on staying active, avoiding aggravating movements, and return to regular activity as soon as possible
  • Guidance and counselling on exercise with activity-specific education programs and weight loss
  • History
  • Physical examination
  • Identification of red flag features
  • X-ray
  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • C-reactive protein (CRP)
  • Erythrocyte sedimentation rate (ESR)
  • Complete blood count (CBC)
  • Blood cultures
  • Lactate dehydrogenase and uric acid tests
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy
  • Regular exercise
  • Injection therapy
  • Surgery
  • Self-management education
  • Physical exercise