Neurology Medicine

Is to provide the patient with information and advice:

a) Information including, for example, what is the most likely cause of your back pain, what treatment strategy is shown on the case and what is forecast. The “short educational programs” include information that can be given in a query, the delivery of an educational brochure, or the use of Internet and discussion groups among patients.

b) Councils, including, for example, what should be the activity level and duration of pain later. We indicate below the recommended advice.
Objective

Provide sufficient information for the patient to know what happens and what potential solutions exist, and specific tips to help you cope with the painful episode and reduce its duration and the risk of recurrence (encouraging active attitudes and reducing the fear .)
Theoretical basis

The underlying logic is that if the patient knows what is happening may participate actively in their healing, avoid risk factors and take steps to prevent recurrence of pain. In addition, the greater their knowledge about back pain and its prognosis, the less anxious and therefore better quality of life.
Evidence of their effectiveness.

The recommendations based on scientific evidence into account scientific studies show that giving information and advice appropriate to the patient decreases anxiety and increases the degree of satisfaction with healthcare received
Risks

In principle, none.
Directions

The recommendations based on scientific evidence to recommend the appropriate information and advice to all patients with back pain. Some of those recommendations state that it is necessary to give more extensive information to patients with a tendency to be squeamish and those in which the expected recovery time is longer, as those with radiating pain in addition to back pain.

The generic advice recommended by the scientific evidence available are:
1. Trying to avoid bedrest

The recommendations based on scientific evidence agree that bed rest is not effective for the treatment of back pain. For example, one study showed that the group of patients rested in bed for a period of 2 to 7 days was worse than that maintained the level of activity that allowed him to develop pain.

The recommendations based on scientific evidence contemplate that the intensity of pain may force some patients to stay in bed for a few days, typically no more than 2, especially when there is pain radiating. But that should be considered a consequence of pain, and no treatment, since it has no beneficial effect on the duration of the episode.

Bed rest can be counterproductive. The recommendations based on scientific evidence agree that bed rest, especially if it lasts more than two days, involves loss of strength and increases the difficulty of rehabilitating the patient, promoting the pain lasts longer and can become chronic.
2. Try to stay active

The recommendations based on scientific evidence agree that it is desirable that the patient with back pain to maintain the level of activity that allows pain, that is, do everything you can, gradually increase your activity as you improve and return to work as soon as possible. Maintain the highest level of activity may reduce the pain and limitation.

Keep a positive attitude and avoid pain obsessed with him. Do not allow conditional life.
3. Avoid overloading your back

The recommendations based on scientific evidence establish that, while maintaining the level of activity that may, patients do so as not to overload your back, using postural hygiene.