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Archives of General Internal Medicine | Volume 2

April 04-05, 2018 | Miami, USA

International Conference on

Internal Medicine & Practice and Primary Care

International Meeting on

Breast Pathology & Cancer Diagnosis

ow back pain is one of the most common medical

problems presenting to clinicians. Most Americans

have experienced low back pain at one time in their life.

Direct health cost of LBP and indirect cost due to reduced

productivity are very high. Low back pain is frequently

classified and treated on the basis of symptom duration and

potential cause. Most episodes of back pain are related to

mechanical regional abnormalities, majority are self-limited.

Excessive and unnecessary diagnostic tests in this group

are not warranted. The therapy chosen for this common

problem should relieve symptoms with toxicities limited to

a minimum, while natural healing occurs. However, up to

10% of cases can be due to serious non-mechanical/medical

causes which frequently missed. Because of high prevalence

of LBP, this small percentage will result in significant number

of cases. Missing or delaying the correct diagnosis can have

dire consequences. Spondyloarthropathy is an important

medical cause of back pain, it usually affects young male

during productive years. Studies showed an average of 8

years delay in diagnosis. The presence of very effective

treatment in recent years makes it of prime importance to

make this diagnosis on time and prevent long suffering and

financial loss. The physician’s role is to make the correct

diagnosis without delay, to keep the diagnostic cost down,

and to provide safe and effective treatment without causing

any financial, physical or psychological harm which might

result from delayed or incorrect diagnosis. In this lecture the

physician will learn how to navigate the signs and symptoms

of LBP to identify the non-mechanical/medical causes

accurately and to implement an appropriate treatment plan

ASAP.

Low back pain, expert approach

Ayman Mufti

Rheumatologist, USA