1. MSK TTT 2 October 23, 2013 Dr. Julia Alleyne
Focus on Low Back Pain
MSK TTT 2
October 23, 2013
Dr. Julia Alleyne

2. Faculty/Presenter Disclosure
Speaker’s Name: Speaker’s Name
Relationships with commercial interests:
Grants/Research Support: PharmaCorp ABC
Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd
Consulting Fees: MedX Group Inc.
Other: Employee of XYZ Hospital Group
Presenters must disclose personal relationships with commercial interests (one slide per faculty member/presenter). Must be presented at all Mainpro+ certified events.

3. Disclosure of Commercial Support
This program has received financial support from [organization name] in the form
of [describe support here – e.g. educational grant].
This program has received in-kind support from [organization name] in the form
of [describe the support here – e.g. logistical support].
Potential for conflict(s) of interest:
[Speaker/Faculty name] has received [payment/funding, etc.] from
[organization supporting this program AND/OR organization whose product(s) are
being discussed in this program].
[Supporting organization name] [developed/licenses/distributes/benefits from
the sale of, etc.] a product that will be discussed in this program: [enter generic
and brand name here].
Presenters must outline connections/support for development/presentation of the program from commercial entities or organizations including educational grants, in-kind services (e.g., logistics) AND specific aspects of the faculty/presenter connections that a reasonable program participant might consider relevant to the presentation, (e.g., products made by companies named in Slide 1 that could be germane (relevant/pertinent?) to the presentation). Must be presented at all Mainpro+ certified events.

4. Mitigating Potential Bias
[Explain how potential sources of bias identified in slides 1 and 2 have been
mitigated].
Refer to “Quick Tips” document
Presenters must outline connections/support for development/presentation of the program from commercial entities or organizations including educational grants, in-kind services (e.g., logistics) AND specific aspects of the faculty/presenter connections that a reasonable program participant might consider relevant to the presentation, (e.g., products made by companies named in Slide 1 that could be germane to the presentation). Must be presented at all Mainpro+ certified events.

5. What is the Focus ? Global Perspective Review of Tools
Integration of Physical Examination
Format for Documentation
Tools to Teach

6. #1 All Musculoskeletal Conditions
Low back pain is the most prevalent of musculoskeletal conditions; it affects nearly everyone at some point in time and about 4–33% of the population at any given point.
Anthony Woolfe
Burden of major musculoskeletal conditions
Bulletin of the World Health Organization 2003;81:646-6

7. World Health Organization
Bone and Joint Decade
Low back pain is a leading cause of disability. It occurs in similar proportions in all cultures, interferes with quality of life and work performance, and is the most common reason for medical consultations.
George E. Ehrlich
Bulletin of the World Health Organization 2003;81:

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14. Inflammatory Screen

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17. Giving Patients Green Light Advice
12/02/11
Giving Patients Green Light Advice
1. Stay Active -Usual Activities
2. Reassurance and Explanation
3. Pain Control
4. Return to Work
5. Ongoing management 17

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22. Gap Analysis
Includes:
Lacks

23. Gap Analysis Includes: Lacks Continuum specific Mechanical approach
Key Messages
Red Flags
Yellow Flags
Investigations
Referrals
Medications
Lacks
Mechanical approach
Clinical Tools
Office Strategies
Patient Specific Approach

24. Feedback
What about the Physical exam ?
How do we document ?

25. Clinically Organized Relevant Examination
CORE Back Tool
Clinically
Organized
Relevant
Examination
For
BACK 25 25

28. Tools to Teach