PHTY2220/7812 by Roma Forbes https://padlet.com/romaforbes/Lumbar2 What are your priorities for the management of this patient? List 3-4 goals of your treatment en-us 2018-10-13 05:29:01 UTC 2018-12-09 07:14:05 UTC hello@padlet.com FOR EXAMPLE (if it was acute low back pain) romaforbes https://padlet.com/romaforbes/Lumbar2/wish/292386074 1. Address the patients concerns and provide infomation about the condition and prognosis
2. Develop a plan for early return to work 
3. Find strategies to reduce acute symptoms including exercise and manual therapy ]]> 2018-10-13 05:31:19 UTC https://padlet.com/romaforbes/Lumbar2/wish/292386074 priorities https://padlet.com/romaforbes/Lumbar2/wish/292663457 1. advice and education: explain how the nervous system works, disc bulge is very common and doesn't always correlate to symptoms; good prognosis for her condition
2. pain management exercises: cat cow and knee side to side exercises
3. graded re-exposure to functional tasks. Flare ups are normal and ok]]> 2018-10-15 05:32:03 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663457 https://padlet.com/romaforbes/Lumbar2/wish/292663460 1. Address any catastrophizing thoughts or misunderstanding
2. Pain management - heat, icing, soft tissue techniques
3. motor control exercises - lumbopelvic dissociation, finding neutral spine, ]]> 2018-10-15 05:32:08 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663460 https://padlet.com/romaforbes/Lumbar2/wish/292663463 1. Debunking myths, consider what they want to find out, who have they seen about it in the past
2. Ask if work is supportive, have they had time off? Show them statistics about people who don't return ASAP
3. Work together and listen to find easing strategies, breathing, exercises etc. ]]> 2018-10-15 05:32:08 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663463 1. educate her on condition, why shes feeling persistent pain, and what she's been told in the past may actually be contributing to her symptoms (e.g. constantly bracing and avoiding movement) https://padlet.com/romaforbes/Lumbar2/wish/292663464 2. sliders to reduce mechanosensitivity

3. encourage her to start exercising and moving again, asking her what sort of activities she enjoys doing/graded exercise

4. deep breathing to help decrease bracing?]]> 2018-10-15 05:32:09 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663464 Priorities https://padlet.com/romaforbes/Lumbar2/wish/292663465 1. Education
2. Reassurance
3. Short term goals (reduce fear of movement)]]> 2018-10-15 05:32:09 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663465 1. Pain education https://padlet.com/romaforbes/Lumbar2/wish/292663467 2. Change Fear Avoidant beliefs]]> 2018-10-15 05:32:09 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663467 https://padlet.com/romaforbes/Lumbar2/wish/292663469 1. education - disc bulge isn't necessarily the source of pain]]> 2018-10-15 05:32:10 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663469 1. Understanding/knowledge of spine - GP and MRI https://padlet.com/romaforbes/Lumbar2/wish/292663471 2. Educating about sensitivity of NS
3. Graded exposure to Ex ]]> 2018-10-15 05:32:11 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663471 Priorities * https://padlet.com/romaforbes/Lumbar2/wish/292663475 - get them to move back
- LP dissociation
- graded exercise program ]]> 2018-10-15 05:32:13 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663475 https://padlet.com/romaforbes/Lumbar2/wish/292663479 1-  A&E =  initial injury healed. Explain chronic pain

2- Teach patient 4pt kneel  motor control and possible progression

3- SLider with progression to possible tensioner.

]]> 2018-10-15 05:32:15 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663479 https://padlet.com/romaforbes/Lumbar2/wish/292663481 1. nerve gliding
2. addressing patient concerns/ what patient understands is wrong with her back
3. Begin gentle exercise program in directional preference
4. Encouraged lumbo-pelvic dissociation while sitting/ changing position every 10 minutes]]> 2018-10-15 05:32:17 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663481 https://padlet.com/romaforbes/Lumbar2/wish/292663494 1. Advice and education- the spine is a really stable structure!
2. Passive ROM- reduce fear avoidance
3. Motor Control- 4pt kneel sit to heels


]]> 2018-10-15 05:32:22 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663494 management https://padlet.com/romaforbes/Lumbar2/wish/292663498 1. correct unhelpful beliefs and explain the complexity of nervous system and pain
2. encourage exercise, start with what patient is confident and gradually progress
3. give reassurance that our lumbar is stable and adaptable ]]> 2018-10-15 05:32:24 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663498 https://padlet.com/romaforbes/Lumbar2/wish/292663501 1.education/advice
2.fear avoidance behaviours
3.pelvic control exercises
4.]]> 2018-10-15 05:32:25 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663501 https://padlet.com/romaforbes/Lumbar2/wish/292663502 1. Address harmful beliefs and pain education 
2. Encourage her to move her back 
3. Motor control training and exercises
 ]]> 2018-10-15 05:32:25 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663502 https://padlet.com/romaforbes/Lumbar2/wish/292663503 1. Advice and education- encourage exercise and address fear avoidant behaviour; 
2. prescribe suitable exercise (patient must enjoy and comply) 
3. return to work or stay at work (good prognosis for returning back to work ASAP or staying at work for ASAP) and activity modification]]> 2018-10-15 05:32:25 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663503 1. Explain nervous system sensitivity and central sensitisation to address patient's pain concerns https://padlet.com/romaforbes/Lumbar2/wish/292663505 2. educate regular postural changes and transitioning between sitting/standing 
3. Exercises ]]> 2018-10-15 05:32:26 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663505 1. Education on MRI findings and what they mean --> normal https://padlet.com/romaforbes/Lumbar2/wish/292663510 2. Increase confidence going into flexion --> reassure her she will not get hurt further

3. ]]> 2018-10-15 05:32:27 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663510 1. addressing patient concerns, understanding about condition etc (reassurance!) https://padlet.com/romaforbes/Lumbar2/wish/292663511 2. pain self management: repeated movements, nerve glides etc 
3. activity modifications at work/home

]]> 2018-10-15 05:32:27 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663511 https://padlet.com/romaforbes/Lumbar2/wish/292663530 1. Disc bulge is prevalent in healthy populations.
2. Modify working environment - standing stations with high seats? So she can alternate between short periods of standing and sitting.
3. MCE.]]> 2018-10-15 05:32:32 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663530 1. gentle nerve gliding https://padlet.com/romaforbes/Lumbar2/wish/292663534 2. motor control exercise (repetitive forward leans)
3. pelvic tilt exercises]]> 2018-10-15 05:32:35 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663534 1. education, improving unhelpful beliefs https://padlet.com/romaforbes/Lumbar2/wish/292663542 2. Increase movement confidence

3. improve awareness of neutral spine ]]> 2018-10-15 05:32:39 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663542 https://padlet.com/romaforbes/Lumbar2/wish/292663577 1. - talk about MRI findings 
- talk about pain 
- encourage self-management with moving 
2. Exercise
- knees - chest, knees side-side 
- LP dissociation w/ mirror]]> 2018-10-15 05:32:50 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663577 Initiate graduated return to movement deemed challenging https://padlet.com/romaforbes/Lumbar2/wish/292663580 tell her that what her GP said is wrong as
Level of pain =/= more damage; talk to her about the sensitivity of the nervous system [Neuromatrix]]]> 2018-10-15 05:32:51 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663580 1. Chronic pain education about healing time frames and NS sensitivity https://padlet.com/romaforbes/Lumbar2/wish/292663636 2.  exercise to increase confidence to move
3. return to meaningful exercise]]> 2018-10-15 05:33:17 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663636 https://padlet.com/romaforbes/Lumbar2/wish/292663642 1. Address patients concerns and misundertanading

2. Nerve glide
3. Motor control exercises
]]> 2018-10-15 05:33:21 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663642 motor control exercises https://padlet.com/romaforbes/Lumbar2/wish/292663647 or 
graded exercises within pain limits


]]> 2018-10-15 05:33:23 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663647 Address persistent pain and reassure patient https://padlet.com/romaforbes/Lumbar2/wish/292663760 2018-10-15 05:34:02 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663760 1 https://padlet.com/romaforbes/Lumbar2/wish/292663765 1)Patient education
2) motor control exercises
3) return to sports]]> 2018-10-15 05:34:05 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663765 1. Educate that pain is not equivalent to harm on back https://padlet.com/romaforbes/Lumbar2/wish/292663805 2. retrain normal movements
3. pain management strategies]]> 2018-10-15 05:34:25 UTC https://padlet.com/romaforbes/Lumbar2/wish/292663805 romaforbes https://padlet.com/romaforbes/Lumbar2/wish/303078501 reduce cognitive threat
plan for graduated return to meaningful actvities
Mobilisation with movement 
start small exercises/movements that are seen as safe]]> 2018-11-12 01:21:16 UTC https://padlet.com/romaforbes/Lumbar2/wish/303078501