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 Low Back Pain with Radiculopathy
Clinical Cornerstone:
- In most cases of acute LBP, symptoms go away on their own and most people will recover well. However, for some people the symptoms will continue and turn into chronic pain.
Negative Prognostic Factors: Associated with a poorer outcome or longer duration of pain and disability. The presence of one or more of these factors does not necessarily mean that a patient will have a poor outcome, but they can be used to guide treatment and set realistic expectations.
1. Lifestyle-related factors: Smoking, obesity.
2. Baseline pain intensity: Higher initial pain levels.
3. Belief about pain duration: Patients who believe that their LBP will last a long time.
4. Psychological factors: Fear avoidance, anxiety, pessimistic expectations.
5. Younger age: Younger age has been identified as a prognostic variable in some studies.
6. Duration of symptoms: Chronic symptoms (lasting more than 12 weeks).
7. Presence of leg pain or sciatica
8. Work-related factors: Job dissatisfaction, heavy physical work demands, lack of job flexibility.
9. Previous episodes of low back pain
10. Depression: Mental health conditions like depression.
11. Functional impairment: Limitations in daily activities due to pain.
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.