CCGI Best Practice Collaborators
CCGI Best Practice Collaborators
CCGI Best Practice Collaborators
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
In April 2016, CCGI Opinion Leaders were joined by a new team of CCGI Best Practice Collaborators. These are influential evidence-informed clinicians recently nominated by their colleagues in a nationwide survey. They are assisting Opinion Leaders in their area with reaching out to other chiropractors and teaching them about critical thinking, proper interpretation of evidence-informed clinical practice guidelines, and evidence-informed practice in general.
CCGI is delighted to have them on board and looks forward to collaborating with them to take the best practices forward in Canada.
Roles and Activities of CCGI Best Practice Collaborators
-
understanding how clinical practice guidelines are developed;
-
discussing best practices and guidelines with colleagues;
-
having a presence on social media to raise awareness of resources on evidence-informed practice;
-
encouraging clinicians and patients to use the CCGI website and resources;
-
making presentations on evidence-informed practice at continuing education events and conferences in collaboration with their local opinion leaders team.
Are you interested in getting involved with CCGI?
We are always looking to get people involved in our projects. No experience necessary - we provide training!
Contact us today!
Are you interested in getting involved with CCGI?
We are always looking to get people involved in our projects. No experience necessary - we provide training!
Contact us today!
Low Back Pain Care Pathway
Date of last update: February, 2024
Diagnosis for Non-specific Low Back Pain (NSLBP)
Clinical Cornerstone:
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Diagnosis is primarily clinical, relying on patient history and clinical examination, and aims to exclude identifiable pathologies.
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Definition: LBP not attributable to a discernible, specific pathology (e.g., infection, tumor, osteoporosis, lumbar disc herniation).
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Prevalence: Approximately 90% of all LBP cases.
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Risk Factors: Include low physical activity levels, smoking, obesity, and high physical stress at work.
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Pain Location: Localized below the costal margin and above the inferior gluteal folds, with or without leg pain.
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Duration: Pain can be acute (lasting less than 6 weeks), subacute (6 to 12 weeks), or chronic (more than 12 weeks).
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Signs and Symptoms:
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Pain can be sharp, dull, shooting, or aching.
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Pain intensity can vary from mild to severe.
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Pain may be aggravated by specific movements, postures, or activities and relieved by others.
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There may be associated muscle stiffness or spasms.
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Referred pain into the legs may or may not be present but does not commonly extend below the knee
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Neurological Examination: Typically, there are no neurological deficits. If present, they are mild and do not follow a specific nerve root distribution.
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Response to Conservative Management: Often responds to conservative treatments such as education, exercise, and manual therapy.
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Psychosocial Factors: Consider psychosocial factors (yellow flags) that might influence pain perception and recovery (e.g., beliefs about pain, fear of movement, catastrophizing).
Conduct patient assessment
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Red flags present
Red flags present
Refer to appropriate emergency or healthcare provider
Diagnosis
Non-specific LBP or LBP with radiculopathy:
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Education
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Self-care
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Exercise
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Manual therapy
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Medicines
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Psychological therapy
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Social support
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Mind-body interventions
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Needling therapies, electrotherapies*
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Mobility assistive devices
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Multicomponent biopsychosocial care
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Topical ceyenne pepper
Additionally for LBP with radiculopathy:
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Medical/surgical consultations
Other specific LBP:
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Refer to appropriate emergency or healthcare provider
Follow-up
Follow-up
Major symptom/sign change
Goals not achieved
Re-evaluate
Adjust treatment and management plan or refer
References or links to primary sources
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Wong, J.J., Côté, P., Sutton, D.A., Randhawa, K., Yu, H., Varatharajan, S., Goldgrub, R., Nordin, M., Gross, D.P., Shearer, H.M., Carroll, L.J., Stern, P.J., Ameis, A., Southerst, D., Mior, S., Stupar, M., Varatharajan, T. and Taylor-Vaisey, A. (2017), Clinical practice guidelines for the noninvasive management of low back pain: A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur J Pain, 21: 201-216. https://doi.org/10.1002/ejp.931
Contact information for further inquiries or feedback
Disclaimer:
These care pathways are intended to provide information to practitioners who provide care to people with musculoskeletal conditions. The care pathways on this website are 'living' documents, reflecting the state of clinical practice and research evidence to our best knowledge at the time of development. As knowledge and healthcare practices evolve, these pathways may be updated to ensure they remain current and evidence driven. These pathways are not intended to replace advice from a qualified healthcare provider.