Member May: A Case Based Approach to Pain Management (1.25 CME)-A Case Based Approach to Pain Management

Video Transcription

Video Summary

Dr. Zainab Ullawadi, a physical medicine and rehab specialist, discusses a case-based approach to managing low back pain. She emphasizes the importance of an interactive and engaged approach, incorporating different experiences and opinions. Dr. Ullawadi starts by presenting a case of a 50-year-old male with acute low back pain and right anterior groin pain. She discusses the differential diagnosis, which includes hip impingement, discogenic pain, facet-related pathology, SI joint pain, and muscle, tendon, or joint issues, among others. She highlights the need to gather a detailed history and conduct a thorough physical examination to inform the diagnosis. Dr. Ullawadi also discusses the natural history of low back pain, the common disorders of the lumbar spine, and the risk factors associated with low back pain.<br /><br />She explains various non-pharmacological and pharmacological approaches to pain management, including physical therapy, acupuncture, medications such as NSAIDs and muscle relaxants, and interventional procedures like joint injections and spinal cord stimulation. Dr. Ullawadi emphasizes the importance of individualized treatment plans and frequent follow-ups to evaluate the patient's progress. She also discusses the potential complications and contraindications of interventional pain management techniques. The talk concludes with a question and answer session.

Keywords

Dr. Zainab Ullawadi

physical medicine and rehab specialist

low back pain

case-based approach

interactive approach

differential diagnosis

non-pharmacological approaches

pharmacological approaches