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Back injuries--getting injured workers back to work
John Low1, Roger Lai, Peter Connaughton
1OccuMED Consulting, Subiaco, Western Australia. jlow@occumed.com.au
Background:
Back problems are the seventh most common reason for seeking care in general practice in Australia. Despite medical advances, chronic disability from back pain is a major contributor to the burden of disease in society today.
Objective:
This article provides an overview of evidence based management for workers presenting with acute low back pain, with the aim of minimising the risk of chronic disability.
Discussion:
Approximately 95% of cases of acute low back pain are nonspecific. Serious spinal conditions are rare and can be identified by triaging for 'red flags'. A modern biopsychosocial approach does not require a specific patho-anatomic diagnosis for effective management. It is essential to reassure patients to stay active and to resume normal activities quickly--including return to work. Screening for environmental and psychosocial 'yellow flags' can identify patients at risk of poorer outcomes so that additional early intervention can commence.
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