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Journal of Neurology and Neurorehabilitation Research | Volume 4

September 03-04, 2019 | London, UK

Spine and Spinal Disorders

International Conference on

J Neurol Neurorehabil Res, Volume 4

Logical minimally invasive management of Low Back Pain

Mark Alexander-Williams

Schoen Clinic, UK

The management of low back pain is completely different

from managing sciatica. I will discuss how to correctly

differentiate between the two and describe pointers in the

history and examination to discriminate between the two.

Red Flags are very poor guides when determining which

patients require significant investment to prevent their low

back pain becoming chronic, patients’ beliefs and values

are of far more influence in determining who will get better

and who will not. I will discuss the evidence supporting this

statement. Conservative management is often the best

approach, certain technique carries supportive evidence and

certain do not, this will be discussed and evaluated. Likewise,

appropriate drug management can facilitate an exercise-

based approach, choosing the correct drugs is also a process

that requires logic and monitoring.

Patients who fail conservative care do so for a number of

reasons. There are a variety of pain generators in the back

that may be driving their pain state. This will be discussed and

some novel approaches in managing these pain generators

will be presented, emphasing the role of correctly performed

radiofrequency denervation in correctly assessed patients.