Medical Professionals
A wide range of treatment options and therapies are available to manage and treat chronic pain. A multidisciplinary approach that supports the individual needs of each patient will achieve the best possible outcome in relieving and managing chronic pain.
Low Back Pain Management Pathway- 3 steps
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Step 1: RED FLAGS (rule out in history and examination)
- Infection
- Fracture
- Malignancy
- Cauda Equina Syndrome (bowel/ bladder dysfunction, saddle anesthesia)In case any Red flag is present Refer to emergency care.Observe for symptoms and signs as follows:
(Fear avoidance, feeling unsafe, worrying thoughts, hopelessness, helplessness, depression, or anxiety). If present go to step 3.
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Step 2: Absence of the above symptoms or signs
- Medications + Self-Management with an ongoing evaluation if unresponsive in two weeks go to step 3.
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Step 3: Presence of the above symptoms and signs
- Refer to Pain Management Service which includes pain medicine, physiotherapy-based rehabilitation, and psychology.
Direct Referral Information
- Non-spinal causes (vascular, neoplastic, gi) are excluded
- Clinical picture
- MRI
- Off antiplatelet drugs – 10 days
- Off anti-Xa factor drugs – for 3 days
- Off warfarin – inr <1.3
- No infections
- After flu-like symptoms — should be well for at least 2 week
- Email: info@dublinpainclinic.ie
Referral Information
Rapid Access Booking Form
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