I always work hard session 3

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I always work hard session 3 by Mind Map: I always work hard session 3

1. Step 9

1.1. Review session 3

1.2. visualize the data and theory

1.2.1. http://www.youtube.com/watch?v=zEOlXmUeK7o

1.3. literature review and use of evidence

1.3.1. 6 studies about CT sensitivity 77.4 % , specifity: 73% to diagnose any lumbar pathology It can have false negative and false positive for herniation

1.3.2. 2-4 YEARS no difference between the surgical and non surgical

1.3.3. 90% recover within first 2 weeks

1.4. 20 minutes

2. Step 10

2.1. Management (for the individual)

2.1.1. goals of treatment pain relief function restoration

2.1.2. Prognosis 70% of low back pain patients have it as self limiting first,rest recommendation then begin activity reduce the BMI will be helpful

2.1.3. Not interventional NSAIDs e.g.: ibuprofen significant side effects for short term pain relief Acetaminophen used by experience first-line therapy Antidepressants tricyclics beneficial for some patients with chronic back pain short term trials Opioids not evidence systematic glucocorticoids not effective muscle relaxants with NSAIDs during the day time before bedtime yoga for chronic pain patients as effective as excersice acupuncture moderate evidence for short term use spinal manipulation old way of treatment return the spinal to its normal position stretch the joints beyond their normal range Grade 2b referral physiotherapist occupational self care rest for the first 2 days with acute severe pain avoid heavy lifting for the first 6 weeks relaxant techniques use simi hard mattress exercise

2.1.4. Interventional but not surgical epidural steroid injection pain relief with short time (less than 3 months) some side effects Grade 2B chemonucleolysis not recommended in US enzymes for nucleuos lysis

2.1.5. Surgical with progressive neuropathy early surgery improves adjusted life years criteria identify the problem not responding to other treatment progressive symptoms for shert term improvment it's the same as non-interventional in the long run discectomy most effective microdiscectomy open discectomy

2.2. Prevention (for the population)

2.2.1. primary no supportive studies exercise to strength the muscles education about how to lift thing having good posture wile sitting avoid risk factors

2.2.2. secondary reduce the pressure in the spine self care exercise work environment modification

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes