One day course
|Finucane L1, Mercer C2|
1Sussex MSK Partnership, Brighton, United Kingdom, 2Western Sussex Hospital Trust, Worthing, United Kingdom
Learning objective 1: Learn to Identify and manage serious pathology of the lumbar spine in relation to four areas of possible spinal pathology, Malignancy fracture Infection Cauda Equina Syndrome
Red flags have traditionally been used by both doctors and therapists to help in the identification of patients with serious spinal pathology. Red flags are signs and symptoms that are possible indicators of serious spinal pathology but there is no clinical evidence or guidance on how these should be used in combination and findings are left to interpretation by the individual clinician.
The lack of diagnostic accuracy and consensus on which red flags are useful in the identification of serious pathology, and how they should be used are problematic. Early identification of patients with serious pathology is crucial for effective management and improved outcomes for patients. The consequences of late diagnosis can be devastating for the patient with loss of mobility, independence and significant pain. As autonomous and accountable diagnostic practitioners, physiotherapists of all levels of experience need to be able to identify those patients who need urgent medical review and act accordingly.
The course will help provide clinicians with increased knowledge and guidance on which red flags to be concerned about and the appropriate action needed to avoid delay in the 4 main areas of possible serious pathology:
The course will review the current evidence and provide an update on an International study that aims to develop ´An evidence informed clinical reasoning framework for clinicians in the face of possible serious pathology of the spine.´
Implications / Conclusions:
Increased awareness of serious pathologies that could masquerade as a musculoskeletal condition will lead to early identification and better outcome for patients
|Target Audience: Clinicians working within musculoskeletal practice who treat back pain or other musculoskeletal conditions.|
|Key-Words: Red Flags; serious pathology; lumbar spine|