The Curbsiders Internal Medicine Podcast #368 Back Pain Update with Dr. Austin Baraki
4 snips
Nov 28, 2022 AI Snips
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Transcript
Episode notes
Use The STarT Back Tool
- Use the STarT Back nine-question tool to stratify risk into low/medium/high.
- Refer higher-risk patients earlier for multimodal care like PT and psychological treatments.
Red Flags Have Low Predictive Value
- Recognize red flags vary in sensitivity and often appear in benign cases.
- Integrate red flags into your pretest probability instead of reflex imaging.
Words Shape Outcomes Strongly
- Beware that specific pathoanatomic labels increase patients' perceived severity and drive more testing and interventions.
- Use neutral language and emphasize prognosis to avoid iatrogenic harm.