Principles of management

• Provide explanation and reassurance including patient education handouts.

• Control pain and maintain function with appropriate drugs.

• Suggest judicious activity, exercise and physical therapy.

• Consider factors lowering the coping threshold, e.g. stress, depression, anxiety, overactivity.

• Refer for surgical intervention for debilitating and intractable pain or disability. Examples include OA of hip, knee, shoulder, first CMC joint of thumb, and first MTP joint where surgery is now very successful. Osteotomies still have a limited place for a varus or valgus deformity of the knee.

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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