back pain

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The Oswestry Disability Index is a tool which helps measure a patient's functional disability. It has been in use for almost 25 years and is regarded as a "gold standard" of low back pain assessment tools. References 1) Fairbank JC, Pynsent PB, "The Oswestry Disability Index." Spine 2000; 25(22):2940-2952 2) Fairbank JCT, Couper J, Davies JB. "The Oswestry low Back Pain Questionnaire." Physiotherapy 1980; 66: 271-273.
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JC Fairbank, et al
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Description: 
A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society published in 2007. This set of clinical guidelines discusses seven treatment options for patients with lower back pain, and includes flow charts for initial evaluation and management of low back pain, as well as several appendices describing treatment recommendation tools. This guideline is for primary care. Another guideline was issued in 2009 for specialty interventions in back pain.
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Annals of Internal Medicine
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Evaluation: 
Pain Treatment: 
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Description: 
This symposium discusses the Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society published in 2007 called Diagnosis and Treatment of Low Back Pain. Presentation topics include recommendations for initial evaluation of low back pain, challenges in developing guidelines for use of interventional procedures and surgery, and recommendations for use of interventional procedures and surgery. Speakers include Steve Stanos, DO, Roger Chou, MD, Richard Rosenquist, and John Loeser, MD.
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American Pain Society
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Pain Treatment: 
Chronic Opioid Therapy: 
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Description: 
Bill H. McCarberg, MD presents six short realistic cases which focus on practical approaches for dealing with patients on opioids. Leanne Yanni, MD discusses use of opioids in primary care and setting with a standard way to set up a practice including discussion of screening tools to use, as well as proper use of prescriptions, a discussion of methadone, urine drug testing, and a need to communicate with the patient and the risk of patients being confused.
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American Pain Society
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Opioids and Other Controlled Substances: 
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Description: 
This audio of a lecture by Gary Macfarlane discusses the effective management of chronic pain in a primary care setting. PowerPoint slides of the presentation are also available. Epidemiologic data related to back pain.
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West of Scotland Pain Group
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Patient Management: 
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Description: 
Speaker: Steven Stanos, DO. Discussion focuses on on shoulder and back pain. Author is a psychiatrist and provides a good focus on physical medicine and physical therapy. Length: 53:23
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American Pain Society
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The American Pain Society held its 27th Annual Scientific Meeting in Tampa, FL, May 6- May 7, 2008. An intensive two-day pre-conference entitled, "The Essentials of Pain Management: Principles and Practice," was a 2-day course. The target audience was 3rd or 4th year residents in Anesthesia, Neurology, Family Medicine, Emergency Medicine and Physical/Rehabilitation Medicine.
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American Pain Society
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Substance Use Problems: 
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Website discusses pain in general, the use of opioids for treatment, alternative methods of treatment, addiction, and provides links for many other relevant topics.
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Discovery Health
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Description: 
Boswell et al. provides guidelines to clinicians along with ways of treating and managing chronic spinal pain.
Source: 
Pain Physician
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