Rational evaluation and management of the patient with spinal pain

Donlin M. Long

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Low back pain is a common adult complaint throughout the developed world. The majority of acute low back pain episodes will relent spontaneously. Evaluation is not needed immediately if there are no red flags. A small number of patients with acute disk herniation will require surgery based upon severity of pain and real or impending neurological deficits. Many can be relieved of radicular pain by perineural steroid injection and/or a short course of oral steroids. Rapid mobilization and return to function are helpful.

Original languageEnglish (US)
Title of host publicationAdvanced Concepts in Lumbar Degenerative Disk Disease
PublisherSpringer Berlin Heidelberg
Pages755-768
Number of pages14
ISBN (Electronic)9783662477564
ISBN (Print)9783662477557
DOIs
StatePublished - Jan 1 2016

Keywords

  • Blocks
  • Herniation
  • Low back pain
  • Physical therapy
  • Psychosocial factors
  • Sciatica
  • Steroids

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Long, D. M. (2016). Rational evaluation and management of the patient with spinal pain. In Advanced Concepts in Lumbar Degenerative Disk Disease (pp. 755-768). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-662-47756-4_50