Dr. Andrea Furlan

Opioids, anti-inflammatories, analgesics, they are good if you have acute low back pain for a short period of time. Or if you have a secondary back pain that is secondary to one of those things, okay? But if it is nociplastic pain, like this primary chronic pain, medications, only if the person has some other... Like a depressed, they are very depressed, so we need to give them antidepressants.

Or if they have another inflammatory disease that is affecting other joints, we can give anti-inflammatories. But anyway, so... Don't think medication. Medication is not going to be the first line of treatment for chronic lower back pain. The first thing that they need to think is about movement. Again, motion is lotion.

Or if they have another inflammatory disease that is affecting other joints, we can give anti-inflammatories. But anyway, so... Don't think medication. Medication is not going to be the first line of treatment for chronic lower back pain. The first thing that they need to think is about movement. Again, motion is lotion.

Or if they have another inflammatory disease that is affecting other joints, we can give anti-inflammatories. But anyway, so... Don't think medication. Medication is not going to be the first line of treatment for chronic lower back pain. The first thing that they need to think is about movement. Again, motion is lotion.

Don't be afraid of it. I think the fear of the pain paralyzes more than the problem itself. We see this a lot. People have an acute episode of back pain. They get very worried. A lot of things start going on in their mind. They start spiraling. Oh, this will happen, blah, blah, blah. The reaction of a person to the back pain itself is worse than the problem itself. That's the first thing.

Don't be afraid of it. I think the fear of the pain paralyzes more than the problem itself. We see this a lot. People have an acute episode of back pain. They get very worried. A lot of things start going on in their mind. They start spiraling. Oh, this will happen, blah, blah, blah. The reaction of a person to the back pain itself is worse than the problem itself. That's the first thing.

Don't be afraid of it. I think the fear of the pain paralyzes more than the problem itself. We see this a lot. People have an acute episode of back pain. They get very worried. A lot of things start going on in their mind. They start spiraling. Oh, this will happen, blah, blah, blah. The reaction of a person to the back pain itself is worse than the problem itself. That's the first thing.

There is a lot of research saying don't prescribe bed rest anymore. This is for doctors. Doctors, don't prescribe bed rest if your patient has an acute back pain, because if you do, there's a lot of evidence from randomized trials done in the last 40 years showing that if a person rests, they do worse than if the person just tried to take as normal as possible their life.

There is a lot of research saying don't prescribe bed rest anymore. This is for doctors. Doctors, don't prescribe bed rest if your patient has an acute back pain, because if you do, there's a lot of evidence from randomized trials done in the last 40 years showing that if a person rests, they do worse than if the person just tried to take as normal as possible their life.

There is a lot of research saying don't prescribe bed rest anymore. This is for doctors. Doctors, don't prescribe bed rest if your patient has an acute back pain, because if you do, there's a lot of evidence from randomized trials done in the last 40 years showing that if a person rests, they do worse than if the person just tried to take as normal as possible their life.

I know I had some episodes of really bad acute low back pain, and I know how hard it is to move. And I know how frightening it is. It's really frightening because it hurts a lot. But the first thing is try not to be afraid of it. Try to move, try to live your life as normal as possible. You can take some analgesics in the acute phases. Try not to stress too much.

I know I had some episodes of really bad acute low back pain, and I know how hard it is to move. And I know how frightening it is. It's really frightening because it hurts a lot. But the first thing is try not to be afraid of it. Try to move, try to live your life as normal as possible. You can take some analgesics in the acute phases. Try not to stress too much.

I know I had some episodes of really bad acute low back pain, and I know how hard it is to move. And I know how frightening it is. It's really frightening because it hurts a lot. But the first thing is try not to be afraid of it. Try to move, try to live your life as normal as possible. You can take some analgesics in the acute phases. Try not to stress too much.

You can see a chiropractor, a physiotherapist, a kinesiologist, your doctor, but try to move. The other thing that people need to remember is when they have an acute back problem,

You can see a chiropractor, a physiotherapist, a kinesiologist, your doctor, but try to move. The other thing that people need to remember is when they have an acute back problem,

You can see a chiropractor, a physiotherapist, a kinesiologist, your doctor, but try to move. The other thing that people need to remember is when they have an acute back problem,

seeking like a go to the doctor and demand an image i need to see a ct scan or mri it's probably not the best thing to do i am a big educator of doctors most of what i do here in canada is educating doctors how to treat chronic pain acute pain so it doesn't become chronic yes do a good physical examination talk to your patient if your patient has red flags that suggest

seeking like a go to the doctor and demand an image i need to see a ct scan or mri it's probably not the best thing to do i am a big educator of doctors most of what i do here in canada is educating doctors how to treat chronic pain acute pain so it doesn't become chronic yes do a good physical examination talk to your patient if your patient has red flags that suggest

seeking like a go to the doctor and demand an image i need to see a ct scan or mri it's probably not the best thing to do i am a big educator of doctors most of what i do here in canada is educating doctors how to treat chronic pain acute pain so it doesn't become chronic yes do a good physical examination talk to your patient if your patient has red flags that suggest

This could be a tumor, a metastasis of a cancer. This could be a fracture. This could be an inflammatory process because my patient is having fever. Or this could be an infection in the bone because the patient uses IV drugs. They inject drugs and now a bacteria can be growing in their vertebra. So if you're not concerned that it's one of those things, Don't even order imaging.