Low Back Pain

MusculoskeletalLumbar Spine
Low Back Pain

Contributors

Romain Blanc

Kinésithérapeute et cofondateur de Fullphysio

Abstract

Low back pain is an extremely prevalent condition affecting the entire world’s population and occurring in all age groups (Hartvigsen et al., 2018). While numerous definitions have been proposed by the American College of Physicians or by the NIH, we will adopt the definition proposed by the HAS (French National Authority for Health) in 2019: “Low back pain is defined as pain located between the thoracolumbar hinge and the inferior gluteal sulcus. This low back pain may be associated with radiculalgia, corresponding to pain in one or both lower limbs in one or more dermatomes.” It is important to note that common low back pain does not involve any red flags (discussed later in this article). Likewise, although the term “non-specific low back pain” is frequently used in English-language literature, the term “common low back pain” would appear to be better suited to daily practice than “non-specific low back pain” (HAS, 2019a).

Chapters

01Introduction to the Condition

  • Anatomy Review

  • Low Back Pain Around the World

  • Classification of Low Back Pain

  • Course

  • What About the Intervertebral Discs?

  • Prevalence and Risk Factors

  • The Biopsychosocial Model and Low Back Pain

  • “Biological” and Biomechanical Factors

  • Low Back Pain and the Central Nervous System

  • Summary 1

02Diagnosis & Assessment

  • Subjective Examination

  • Differential Diagnosis and Red Flags

  • Basic Physical Examination

  • Physical Examination: CCR

  • Physical Examination: MDT Approach

  • Evaluation of the Sacroiliac Joint

  • Special Tests

  • Measurement Tools and Psychosocial Factors

  • Pain Evaluation

  • Imaging

  • Summary 2

03Treatment & Management

  • Course and Prognosis

  • Conservative or Surgical Treatment?

  • Rehabilitation Principles & Personalized Treatment

  • Therapeutic Patient Education

  • Exercise

  • Manual Therapy

  • MDT Approach

  • TENS Electrotherapy

  • Dry Needling

  • Lumbar Support

  • Virtual Reality

  • Multimodal Treatment

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