Low background: revised and improved care algorithm for doctors

The National Institute of Excellence in Health. However. For example, Social Services (INESS) has recently put online an algorithm on the management of low back pain with or without radicular pain that integrates the most recent scientific knowledge and best practices in this area.

“Depending on the different cases. Consequently. In addition, we can seek information that will be different and relevant,” said the chronic pain service at the Quebec-University CHU Laval, Dr. Similarly, Anne Marie Pinard, who was part of the multidisciplinary group responsible for updating the algorithm.

“For example, when should we imagine?” When should we refer to rehabilitation? Meanwhile, What medication should we give? However. Consequently, ”

The algorithm on low backgrounds counts among those who are offered to doctors to guide them in the management of problems such as fibromyalgia. Therefore, complex low background: revised improved care new regional pain syndrome. For example, It had not been updated for several low background: revised improved care years.

It is a “practice guide” with which front line doctors can interact depending on the patient in their presence. Similarly, said Pinard Doctor. Meanwhile,

Unlike the previous version. Furthermore. Meanwhile, she underlined, the algorithm is now more room for acute low back pain by helping doctors to identify possible chronicization factors, since today we have the necessary knowledge to identify these patients in whom acute back pain may transform into chronic problems. “This is probably the area where there has been the most research,” said Dr. Pinard.

“Faced with an acute ‘low back pain. it is certain that there are classic things to do from the start,” she said. But there are quickly questions that we have to ask ourselves: do we rise towards the right treatment to. avoid (that the low background: revised improved care new patient) is picked up on our waiting lists a few years later? ”

We find at the forefront low background: revised improved care of these factors all the “psychosocial” aspect of pain. the importance of which is increasingly recognized after having been neglected for a long time.

The algorithm also allows the doctor to determine a little more clearly if his patient’s pain is a nociceptive. (like a sprain). neuropathic (such as sciatic nerve) or harmful (more centralized pain, such as fibromyalgia).

“The algorithm asks us to think about what the type of predominant pain is in our patient to be. able to apply the best processing means from the start. ” said Pinard Docter.

The algorithm will also help the doctor to offer his patient “valid. free” resources to learn to take care of his pain, such as the gerermadouleur.ca site or the Quebec chronic pain association. “There are low background: revised improved care new really resources that are available to better help patients understand what’s going on. then what they can do to help each other,” summed low background: revised improved care up the Pinard Doctor.

The tool will also support the doctor in the decision-making process with his patient. she stressed, citing as an example the use of painkillers such as opioids or the use of imagery.

We know for example that almost two thirds of the magnetic resonances practiced in a sixty -something will testify. to what it calls a “significant anomaly”.

“You have to be careful not to imagine. discover things that are not clinically significant. start to deal with this by thinking that it is a problem,” said Pinard Dr.. The algorithm comes to tell us when (imaging becomes relevant). and it can very well support the discussion between the doctor and the families. ”

It goes without saying that low background: revised improved care new a patient struggling with pain will tend to always claim “more tests. more drugs” to get better. she said, but the algorithm should avoid “things that are low background: revised improved care not useful”.

“It becomes easier for a doctor to say ‘listen. I think that’s it. but even (the Inesss) has made an algorithm with experts and it is their conclusion,” said Pinard Doctor.

Avoiding unnecessary care will also make it possible to ensure that the resources available -. that we know very limited in the current context – will be more easily accessible to those who really. need it.

Despite the best treatments. she added, there will always be patients whose pain will eventually have chronicizing and who will need over-specialized clinics.

“But by making sure to do the best possible actions supported by the literature in different cases. to recognize the risk factors for chronicization. all that, low background: revised improved care new I think that in the long term, we will succeed in improving the condition of several patients, then avoiding (that they) find themselves on our waiting lists or in our waiting low background: revised improved care rooms for low back pain that could have been taken care of a little before”. she concluded.