Non-Operative Management of Low Back Pain

Low back pain is a cause of many visits to the emergency department. Between 70% and 85% of the population will suffer from back pain at some point in their lives. This lecture is designed to assist physicians in determining the causes of low back pain.

Target Audience

Neurologists, Neurosurgeons, Neuro-Oncologists, Neuro-Radiologists, Diagnostic Radiologists, Critical Care Medicine Physicians, Neurointensivists, Emergency Medicine Physicians, Internal Medicine Physicians, Family Medicine Physicians, General Internists and Physician Assistants. 

Learning Objectives

  • Identify the mechanics of the lumbar spine as it relates to various degenerative processes.
  • Describe the workup/diagnostic testing of low back pain to identify the correct pain generators.
  • Review nonsurgical treatment options for low back pain, including physical therapy, local injections, medications, etc.
  • Evaluate the current algorithms for management of nonspecific and radicular low back pain.
  • Recognize the role of emergency management and family medicine in the treatment of low back pain.
Additional information
Bibliography: 
  • Deyo RA, Tsui-Wu YJ. Descriptive epidemiology of low-back pain and its related medical care in the United States. Spine (Phila Pa 1976) 1987; 12:264.
  • 4.Centers for Disease Control and Prevention. National Ambulatory Medical Care Survey: 2010 Summary Tables. http://www.cdc.gov/nchs/data/ahcd/namcs_summary/2010_namcs_web_tables.pdf (Accessed on September 30, 2014).
Course summary
Available credit: 
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 ABIM MOC
  • 0.50 General certificate of attendance
Course opens: 
04/20/2016
Course expires: 
03/01/2019

Ronald B. Tolchin, D.O., FAAPM&R 
Medical Director, Baptist Center for Spine Care
Baptist Health Neuroscience Center
Physical Medicine and Rehabilitation    
Baptist Hospital of Miami
Miami, Florida

Ronald B. Tolchin, D.O., FAAPM&R, indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will not include off-label or unapproved product usage in his presentations or discussions. 

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose. 

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC 

Successful completion of this CME activity enables the participant to earn up to 0.5 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC points.

Your participation information will be shared with the ACCME, which will in turn report your points to ABIM. Successful completion of a course examination is required to earn ABIM MOC points.

ABIM MOC Points will be submitted the first week following the month of completion.

Available Credit

  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 ABIM MOC
  • 0.50 General certificate of attendance

Accreditation Period

Course opens: 
04/20/2016
Course expires: 
03/01/2019
Please login or register to take this course.

Required Hardware/software

This site is best viewed on the two most recent stable releases of the following browsers for all public pages:

PCs Running Windows

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet
  • Internet Explorer (IE 11 and above recommended): You will be prompted to download videos before you are able to view. Click “download” to view video.  After a momentary pause, the recording will play. 
  • Mozilla Firefox: You may be prompted under the “This Connection is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions”.

Apple Computers Running OSX

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet
  • Safari
  • Mozilla Firefox: You may be prompted under the “This Connection is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions”.

This site uses a responsive design, which allows the page layout of elements to change depending on the screen resolution. Certain functionality may change based on the screen resolution of smaller screens, such as the number of columns in a table.

Technical Support: If you are experiencing technical difficulties or have received an error message, please send an email to CME@BaptistHealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.