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

Video Transcription

Video Summary

In this video, Dr. Zainab Ullawadi discusses a case-based approach to low back pain management. She begins by introducing herself as a physical medicine and rehab specialist, and explains that she will be using one case as an example, but incorporating different experiences and audience questions throughout. She starts by presenting a case of a 50-year-old man with acute low back and groin pain, along with lateral leg pain. She discusses the differential diagnosis, which includes hip impingement, discogenic pain, facet-related pathology, and SI joint pain, among others. She emphasizes the importance of gathering a detailed history to help narrow down the diagnosis. Dr. Ullawadi also discusses the natural history of low back pain, risk factors, and common disorders of the lumbar spine. She reviews the common diagnostic imaging findings and when to order imaging, such as x-rays or MRI. In terms of management, Dr. Ullawadi discusses non-pharmacological approaches, such as physical therapy, acupuncture, and cognitive behavioral therapy. She also mentions medications options, including NSAIDs, muscle relaxants, and opioids, and emphasizes the need for a comprehensive and individualized approach. Dr. Ullawadi also discusses interventional pain management options, such as facet joint injections and epidurals. She mentions potential complications and contraindications of interventional procedures. She briefly touches on the use of spinal cord stimulation and concludes with a reminder to fill out the evaluation form and receive CME credit.

Keywords

low back pain management

differential diagnosis

physical therapy

medication options

diagnostic imaging findings

interventional pain management

comprehensive approach

CME credit