Low back pain (LBP) is the second most common cause of disability in adults and the fifth most common reason for all physician visits in the United States. It is estimated that 50-80% of adults experience an episode of LBP at some time during their lives. In most cases, recovery occurs within a few months of onset, but some develop chronic LBP, in which pain lasts for 3 months or longer. May be inappropriate, and individual therapeutic options may be underutilized or overutilized. Successful outcomes often require a multimodal approach that has been insufficiently applied by primary care clinicians. Commonly prescribed therapies have limitations due to side effects or risk of abuse while recent data suggests limited some efficacy. The objectives of this activity will be to help primary care providers better recognize psychosocial factors in chronic LBP, more often see the benefit of physical or exercise therapy, and use targeted pharmacotherapy as well as understand limitations on efficacy of all prescribed therapies.
Welcome to the National Association for Continuing Education webcast from the NACE Emerging Challenges in Primary Care Update: 2012 conference. The topic of this webcast is Management of Chronic Lower Back Pain: Non-Opioid Treatments to Improve Outcomes.
The program was captured live in Denver, Colorado on June 16, 2012 and features Dr. Louis Kuritzky. Dr. Kuritzky is a Clinical Assistant Professor in the Department of Community Health & Family Medicine at the University of Florida in Gainesville, FL.
Primary care providers
After completing this program, participants should be able to:
- Discuss the pathophysiology of low back pain (LBP)
- Recognize Waddell signs and how they can predict symptom magnification
- Recognize the limitations of some commonly prescribed therapies for back pain
- Demonstrate increased awareness of evolving pharmacotherapies and their role in low back pain
AMA PRA Category 1 Credit(s)TM
The National Association for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The National Association for Continuing Education designates this educational activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Louis Kuritzky, MD
Clinical Assistant Professor
Department of Community Health & Family Medicine
University of Florida
Louis Kuritzky, MD, Speaker, is a consultant/Advisor for Lilly, Boehringer Ingelheim, Jannssen (Dr. Kuritzky's relationships with the companies listed are regarding products unrelated to the topic he is presenting.)
Harvey C. Parker, Ph.D., Activity Planning Committee, has the following relationship to disclose: co-owner of Specialty Press, Inc. and Health Link Systems, Inc.
Gregg Sherman, MD, Co-Course Director, has no relationships to disclose.
Deborah Paschal, CRNP, Co-Course Director, has no relationships to disclose.
Michelle Frisch, MPH, Activity Planning Committee, has no relationships to disclose.
Alan Goodstat, LCSW, Activity Planning Committee, has no relationships to disclose.
National Association for Continuing Education
This activity is supported by an educational grant from Lilly.
To obtain credit, a score of 60% or better is required. This CE is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test, and received your digital copy of your credit certificate. Your online certificate will be saved on myCME.com within your Profile/Exam History, which you can then access at any time.
WINDOWS PC SYSTEM REQUIREMENTS:
266-MHz Pentium II; Windows 98 or higher; 64 MB RAM; 800 x 600 screen resolution
set for “High Color (16-Bit)”; Macromedia Flash Player 6 or higher.
MACINTOSH® SYSTEM REQUIREMENTS:
Power Mac g3 at 300 MHz; System 8.5 or higher (excluding Mac OSX); 96 MB RAM; 20
MB minimum hard disk space available; 800 x 600 screen resolution set to “Thousands
of Colors”; Macromedia Flash Player 6 or higher.