Ergonomics - Low Back Pain: An Evidence-Based, Biopsychosocial Model for Clinical Management

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Low Back Pain: An Evidence-Based, Biopsychosocial Model for Clinical Management
Jane Derebery, M.D. | John R. Anderson, D.O.

$70.00
Product Code: 23072
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Since the advent of OSHA in 1970, workplaces have become safer and material handling has been reduced, yet the problem and expense of low back pain has continued to dominate as the leading cause and cost of work-related disability. Furthermore, cross-cultural studies suggest that Americans tend to be more disabled by their pain and have higher self-perceived levels of dysfunction than those with back pain in other countries.

Looking at these statistics, it is clear that the current, widely practiced model of low back pain management isn't working. One of the reasons is that treatment is often inconsistent, highly variable, without scientific support, and generally based on tradition, patients' subjective symptoms, and cultural expectations. In addition, treatment often reinforces or initiates a patient's underlying belief that lower back pain is disabling, recurring, and chronic.

Introducing a New, More Effective Model
In response to the ineffectiveness of current treatment approaches, Low Back Pain: An Evidence-Based, Biopsychosocial Model for Clinical Management offers a new paradigm based on treatment approaches that consistently result in improved outcomes. It provides a wealth of practical information for the practitioner, including material on several important areas that are seldom addressed in back pain medical textbooks, such as chiropractic management, specifics on how to deal with psychosocial factors, non-mechanical medical causes of low back pain, and process management of practice.

Designed for Clinical Application
In these pages, professionals involved in the management and/or oversight of low back pain cases will find an evidence-based treatment approach that explains how to incorporate the biopsychosocial elements of treatment with evidence-based recommendations and the older biological model. This information will help clinicians and case managers determine the most promising treatment for their patients along with the relevant psychosocial factors that are likely to influence the patient's response to the treatment. To help clinicians apply the new model in their practice, the authors include the red flags from the AHCPR guideline to aid in identifying serious medical conditions, as well as yellow flags and alerts that have been associated with increased likelihood that significant psychosocial components are present. Clinicians will also find practical information about the management of various psychological components that frequently play a part in the chronicity of work-related low back pain, such as treatments available for cases where there are significant psychosocial factors contributing to the problem, including using trazadone for sleep, and prescribing exercise for anxiety and depression reduction as well as to aid in back pain management.

The Definitive Guide for Clinicians, Case Managers, and Claims Managers
• Incorporates a biopsychological approach to low back pain management with the evidence-based recommendations of respected international guidelines
• Provides red flags to help you quickly identify patients who present with signs and symptoms that remove them from the simple low back pain category
• Identifies which diagnostic tests are appropriate and efficacious, and helps you determine which patients meet the appropriate criteria for using available diagnostic tools such as MRI and EMG
• Includes tips on how to talk to patients effectively about the management recommendations
• Provides suggestions for evaluating and managing the low back pain patient who is not progressing as expected
• Offers an outstanding overview of chiropractic low back pain management by a chiropractor who is highly respected by the medical community
• Includes sections on non-mechanical, medical causes of back pain, to aid the physician in establishing an appropriate differential diagnosis
• Provides practical clinical information on managing various psychological components frequently associated with chronicity of work-related low back pain.

Table of Contents

I. Fundamentals of an Evidence-Based, Biopsychosocial Approach to Low Back Pain

1. Paradigms Lost: Adopting a New Model for Low Back Pain by Jane Derebery
2. Process Management in Occupational Medicine by W. Tom Fogarty
3. Clinical Content Management in Patient Evaluation by Jane Derebery and Garry Moore
4. Clinical Content Management in Treatment by Jane Derebery

II. Clinical Evaluation of Low Back Pain

5. Anatomy and Physiology of the Low Back by Tom Hadley
6. Determination of Work Relatedness by Dennis Schultz
7. Nondiscogenic Low Back Pain of Mechanical Causation by Carol Brailsford, Jerry M. Sandhaus, and Jane Derebery
8. Discogenic Low Back Pain by Jonathan P. Lester and Jane Derebery
9. Traumatic Low Back Pain by Peter G. Fagan
10. Medical Conditions Causing Low Back Pain by David M. Lyman, James Fitko, and Granville E. Horton

III. Diagnostic Procedures for Low Back Pain

11. Lumbar Imaging by Bill Lewis
12. Electrodiagnostic and Laboratory Testing by Arthur D. West, Jr., Aaron W. Sable, and John R. Anderson

IV. Management of Low Back Pain

13. Medical Treatment: Pharmacotherapy and Supportive Measures by Robert J. Hassett, Steve Peake, and Mark Mason
14. Physical Therapy by Dennis Fredette and Peter Deziel
15. Chiropractic Treatment by William D. Defoyd
16. SurgeryPaul M. Umoff
17. Education of Patients, Employers, and Physicians by Arthur J. Axelrod
18. Transitional Duty and Case Management by James W. Small and Chris Kalina
19. Paradigms Found by John R. Anderson
Index

About the Authors
Jane Derebery, M.D., FACOEM is Vice President of Medical Affairs, Southern Region, at Concentra Health Services, and Chairman of the Concentra Occupational Health Research Institute. A Fellow of the American College of Occupational and Environmental Medicine, she was appointed a member of the Medical Advisory Committee of the Texas Workers Compensation Commission. Dr. Derebery is author or co-author of a number of publications related to occupational upper extremity disorders and injuries, as well as work on aggressive transmission of tuberculosis, low back pain, and delayed recovery.

John R. Anderson, D.O. is Vice President of Medical Operations for the East and Midwest at Concentra Health Services. He is Board Certified in Occupational Medicine by the American Osteopathic College of Occupational and Preventive Medicine, and is co-author with Eugene K. Sawyer, M.D. of 'Acute Epididymitis: A Work-Related Injury?' published in the Journal of the National Medical Association.

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