Ep 199: What do people with back pain want? with Dr Giovanni Ferreira
Oct 14, 2024
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Dr. Giovanni Ferreira, an Emerging Leader Research Fellow at the University of Sydney, dives into the pressing concerns of people suffering from acute low back pain. He critiques clinical practice guidelines, arguing they often miss the mark on addressing patient worries. The conversation highlights the need for personalized education over generic advice and emphasizes the role of effective communication in improving treatment outcomes. Ferreira also discusses the potential for AI chatbots to help patients find reliable information, navigating the complexities of back pain management.
Patients with acute back pain prioritize concerns about mobility and daily life, which are often overlooked in clinical practice guidelines.
Enhancing direct communication between clinicians and patients is essential for tailoring education and reassurance according to individual needs.
Deep dives
Concerns of Patients with Acute Back Pain
Individuals suffering from acute low back pain often express a variety of concerns that significantly impact their quality of life. In a recent study, 34 unique concerns were identified, focusing particularly on how back pain might affect their futures, including mobility, work performance, and overall prognosis. Patients demonstrated anxiety about the psychosocial ramifications of their condition, often feeling uncertain about how their daily activities would be influenced. Surprisingly, many of these concerns are not adequately addressed in existing clinical practice guidelines, which tend to prioritize serious pathologies over the everyday worries of patients.
The Role of Clinical Practice Guidelines
Current clinical practice guidelines (CPGs) for back pain tend to fall short in addressing the most pressing concerns voiced by patients. While these guidelines include recommendations for reassurance about serious conditions like fractures or cancer, they often neglect the more common daily struggles faced by individuals, such as mobility limitations and lifestyle adjustments due to pain. This discrepancy highlights the need for clinicians to engage in personalized conversations with patients, recognizing that CPGs provide a general framework but are not exhaustive in addressing individual concerns. Enhancing this communication may lead to better treatment outcomes by catering to what truly matters to patients.
Future Directions in Patient Education and Research
To improve patient education and address the inadequacies in current clinical practice guidelines, more pragmatic and individualized educational interventions need to be developed. Research indicates that fostering direct conversations between clinicians and patients is crucial for understanding specific concerns, thereby allowing clinicians to provide tailored reassurance. Future studies will expand beyond back pain to explore how similar principles can apply to other musculoskeletal conditions, ensuring that education interventions resonate with the experiences of patients across different backgrounds. This approach aims to transform how healthcare providers communicate and engage with patients, ultimately improving the management of musculoskeletal pain.
If you consult a clinical practice guideline for any musculoskeletal condition, you'll probably see advice and education included as part of the recommendations for helping someone manage their musculoskeletal pain.
How well do the recommendations in clinical practice guidelines about what topics advice and education should cover align with the main concerns of people with back pain?
Dr Giovanni Ferreira (University of Sydney) joins JOSPT Insights to explain.
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RESOURCES
Concerns of people with acute back pain: https://www.jospt.org/doi/10.2519/jospt.2024.12571
AI chatbots answering questions about low back pain: https://pubmed.ncbi.nlm.nih.gov/39299722/
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The American Academy of Sports Physical Therapy and JOSPT are co-hosting the second Virtual Sports PT Conference on Saturday 2 November. You'll hear from world-leading clinician-scientists including Drs Terri Chmielewski, Lori Michener, Karin Silbernagel, Liz Wellsandt and Rich Willy. Register now to take advantage of the opportunity for up to 13 continuing education contact hours.
Registration and information: https://tinyurl.com/3xkcrtu2
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