NMT150 Putting It Together, Wk 5 PDF

PUTTING IT TOGETHER – WEEK 5 LO W B A C K PA I N W I T H R A D I C U LO PAT H Y Author: Dr. Michelle Richea, ND LEARNING OUTCOMES Discuss lifestyle guidance for treatment/ prevention of low back pain Practice using available electronic resources to support care Synthesize the elements of creati...

PUTTING IT TOGETHER – WEEK 5 LO W B A C K PA I N W I T H R A D I C U LO PAT H Y Author: Dr. Michelle Richea, ND LEARNING OUTCOMES Discuss lifestyle guidance for treatment/ prevention of low back pain Practice using available electronic resources to support care Synthesize the elements of creating a treatment plan - Comprehensive Naturopathic scope with EBM rationale - Elements of informed consent - Requirements of record keeping Practice communicating treatment recommendations to a patient LIFESTYLE CONSIDERATIONS Keep moving (recall last week’s considerations) - Sitting can worsen symptoms and prolong recover time - Avoid high impact/ forceful movements - Consider gentle activities - Walking, swimming, cycling - Make it a regular routine with exercise that stretch and strengthen your back and abdominal muscles - Balancing exercises ***Think about Astronauts with increased risk. Discs need loading. (PCIS) LIFESTYLE CONSIDERATIONS Support healthy weight management Support smoking cessation (if applicable) Stretching with a gentle yoga/ pilates practice Massage therapy & hydrotherapy (alt. hot and cold) Avoid sitting for prolonged periods, take movement breaks. Avoid sedentary lifestyle. LIFESTYLE CONSIDERATIONS Educate appropriate sleep position (avoid tummy), use pillows for appropriate support. (Also think about firmness of mattress). GOALS FOR GROUP WORK: Identify Treatment goals Propose treatment plan with supported rationale for treatment (Look to the evidence!) - Top 3 suggestions? - ND products + nutritional guidance + lifestyle + collaborative care? Use the e-resources shared already Include elements of informed consent Type out the treatment plan as you would for a patient Role-play: Explain the treatment plan as you would to a patient (ask questions as a patient would if unclear) REFERENCES: https://www.healthquality.va.gov/guidelines/Pain/lbp/VADoD LBPCPGFinal508.pdf (p. 106) https://choosingwiselycanada.org/pamphlet/treating-lower- back-pain/