Clinical case study
Taking action for acute low back pain
Kyle, a 47-year-old man, presents with a history of low back pain for 8 days. He wants to know if he has damaged his back and is requesting imaging. What now?
Start: 16 October 2018
This activity has been accredited for 2 (Category 2) points in the RACGP QI & CPD Program for the 2017 - 2019 triennium (activity number 141990).
This activity has been approved for 1 Core point in the ACRRM PD Program for the 2017 - 2019 triennium (activity code 14092).
Kyle is a 47-year-old financial advisor with a history of low back pain for 8 days. He is requesting imaging as he is worried he has damaged something. What information would you like to know about Kyle? How would you respond to his request for imaging?
Complete this online case study and receive instant feedback on your responses, compare your approach with your peers and read expert commentary provided by Dr Symon McCallum, a persistent pain and anaesthetic specialist and a fellow of the Faculty of Pain Medicine at the Australian and New Zealand College of Anaesthetists.
On completion of this activity you should be able to:
- use a targeted history and physical examination to diagnose low back pain
- identify the limited role of imaging for low back pain, except when an underlying serious condition is suspected
- use a risk stratification approach to identify risk factors for poor prognosis for patients with low back pain at the first or second consultation
- outline the benefits of activity and the limited role of medicines in managing low back pain.