Low back pain is not a homogeneous condition and it is far from nonspecific. The key to establishing a successful triage system and successfully managing back pain is to distinguish the presenting features that both direct the initial treatment and predict the probable outcome. Back pain presents as one of four distinct syndromes. Recognition is based on the identification of the site of dominant pain, the consistency of the symptoms and the effect of flexion on the pain. This session will explore the CORE Back Tool, a single-page outline that allows the primary care practitioner to identify a pattern of pain and rule out red- and yellow-flag problems. The tool includes sections on high-yield history, radiology and surgical referral criteria, physical assessment, patient education and management.
Department of Surgery, University of Toronto
Dr. Hamilton Hall is a professor in the Department of Surgery at the University of Toronto and is on the active orthopedic staff at Sunnybrook Health Sciences Centre. In 1974 Dr. Hall founded the Canadian Back Institute (CBI Health Group), now the largest rehabilitation company in Canada. He continues to serve as its medical director. He is co-founder of the Canadian Spine Society and is presently the Society’s executive director. Dr. Hall is a member of the North American Spine Society, the Canadian Orthopaedic Association and the International Society for the Study of the Lumbar Spine. He has served on the editorial boards of Spine, The Spine Journal and The BackLetter. Honours include the Laurie Chute Award for the best undergraduate clinical lecturer at the University of Toronto and the Henry Farfan Award from the North American Spine Society for outstanding contributions to the field of spine care. Dr. Hall’s concept of a syndrome approach to mechanical back pain is an essential component of the provincial initiatives to educate primary care providers in British Columbia, Alberta, Saskatchewan, Ontario, New Brunswick and Nova Scotia. His system is the basis of undergraduate teaching about back pain in the Faculties of Medicine at the University of Toronto and McMaster University. In addition to over 130 published articles and book chapters and over 1,200 invited presentations, many as visiting professor at universities in North America, Europe and Asia, Dr. Hall is the author of the best-selling Back Doctor series of books for the lay public.
Thursday, November 23
2:30 PM – 3:30 PM
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