scholarly journals Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Ester García-Martínez ◽  
Jorge Soler-González ◽  
Joan Blanco-Blanco ◽  
Francesc Rubí-Carnacea ◽  
María Masbernat-Almenara ◽  
...  
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Primary Health Care ◽  
Back Pain ◽  
Health Care Providers ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Care Providers ◽  
Primary Health ◽  
Primary Health Care Providers

Abstract Aim To identify misbeliefs about the origin and meaning of non-specific chronic low back pain and to examine attitudes towards treatment by primary health care providers. Design Generic qualitative study. Methods Ten semi-structured interviews were conducted between October and November 2016 with physicians and nurses from primary health care centres in Lleida. The interviews were transcribed and analysed using inductive thematic analysis via Atlas.ti-8 software. Results Five themes were identified: i. beliefs about the origin and meaning of chronic low back pain, ii. psychosocial aspects of pain modulators, iii. Therapeutic exercise as a treatment for chronic low back pain, iv. biomedical attitudes of primary health care providers, and v. difficulties in the clinical approach to chronic low back pain. Conclusion Primary health care providers have a unifactorial view of chronic low back pain and base their approach on the biomedical model. Professionals attribute chronic low back pain to structural alterations in the lumbar spine while psychosocial factors are only recognized as pain modulators. For professionals, therapeutic exercise represents a possible solution to chronic low back pain; however, they still do not prescribe it and continue to educate on postural hygiene and recommend limiting physical and/or occupational activities, as opposed to clinical practice guidelines. These findings suggest that to improve the adherence of primary health care providers to the biopsychosocial model, it may be necessary first to modify their misbeliefs about non-specific chronic low back pain by increasing their knowledge on pain neurophysiology. Trial registration ClinicalTrials.gov Identifier: NCT02962817. Date of registration: 11/11/2016.

Health care providers communicate less well with patients with chronic low back pain – A study of encounters at a back pain clinic in Denmark

Pain ◽  
2010 ◽  
Vol 150 (3) ◽  
pp. 458-461 ◽  
Author(s):  
Pål Gulbrandsen ◽  
Henrik Bjarke Madsen ◽  
Jurate Saltyte Benth ◽  
Even Lærum
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Providers ◽  
Chronic Low Back Pain ◽  
Pain Clinic ◽  
Low Back ◽  
Care Providers

Management of Chronic Low Back Pain: Review of Fluoroscopy-Guided Epidural Steroid Injection

Neurographics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 1-11
Author(s):  
A. Chacko Achanaril ◽  
M.D. Jhaveri ◽  
S. Gaddikeri
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Minimally Invasive ◽  
Health Care Providers ◽  
Chronic Low Back Pain ◽  
The United States ◽  
Imaging Features ◽  
Low Back ◽  
Care Providers

Chronic low back pain point prevalence in US adults ages 20‐69 years is approximately 13.1%. It is estimated that approximately 12%‐15% of visits to health care providers in the United States are related to low back pain and is considered as an economic burden, not only due to the loss of work productivity but also due to direct health care costs, with an estimated median treatment cost of approximately $13,015 per quality-adjusted life year. Even with well-selected patients, the surgical outcome in patients with low back pain may vary. Conservative management by using physical therapy and rehabilitation is considered an equally good alternative option for patients with chronic low back pain. Percutaneous minimally invasive pain-alleviating spinal procedures are helpful for patients who do not have a compelling indication for surgical intervention, who are not good surgical candidates due to their associated comorbidities, and who cannot tolerate the oral pain medications in the required doses. Percutaneous minimally invasive pain-alleviating spinal procedures are increasingly popular due to increasing patient awareness of alternative treatment options and also the skepticism about the cost-effective role of spinal surgery for pain. In this article, we provide a basic review of relevant anatomy, preprocedure assessment, and techniques for most commonly used percutaneous image-guided spinal epidural procedures and briefly discuss the potential complications.Learning Objectives: To describe relevant spinal anatomy; to provide a brief illustration of basic techniques and approaches for spinal pain control procedures and regional anesthesia; and to discuss predisposing factors, pathophysiology, and imaging features of associated complications.

scholarly journals Knowledge, Attitudes and Beliefs about Patients with Chronic Low Back Pain among Physiotherapy Students

2021 ◽  
Vol 6 (2) ◽  
pp. 133-138
Author(s):  
Kruti U Lotia ◽  
Megha S Sheth
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Providers ◽  
Chronic Low Back Pain ◽  
Attitudes And Beliefs ◽  
Low Back ◽  
Care Providers ◽  
The Mean ◽  
Physiotherapy Students

Background: Low back pain is one of the most common conditions seen by physiotherapists and other health professionals. Managing this condition is important clinically. Studies have found health care professionals with positive attitudes and proper knowledge more likely to provide patients with evidence based care. The objectives were to determine the level of knowledge of pain and attitudes and beliefs towards patients with chronic low back pain among physiotherapy students and find the correlation between them. Methods: This cross-sectional study was carried out on 75 physiotherapy students of Ahmedabad included by convenience sampling. Two questionnaires-Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) for measuring attitudes and beliefs about pain and the Neurophysiology of Pain Questionnaire (NPQ) for knowledge of pain were used. Spearmans tests correlated data with p<0.05. Results: The study had a 100% response rate. The mean correct NPQ score was 5.86(±1.98). The mean correct score for HC-PAIR was 67.35(±1.98). Knowledge of scores had a low inverse relationship (r=-.283, p=0.04) with scores for attitudes and beliefs towards patients with chronic low back pain. Conclusion: There is a lack of knowledge of pain among physiotherapy students with a low correlation with attitudes and beliefs towards patients with chronic low back pain. Results have shown a significant association between knowledge of pain and attitudes and beliefs towards patients with chronic low back pain. Studies about improving the knowledge of pain may be conducted to see change in these attitudes and beliefs. Keywords: Knowledge, attitude, belief, low back pain, physiotherapy students.

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