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Clinical Approach to Back Pain: From Diagnosis to Treatment Strategies (4th Medical student)
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Topic Overview
This lecture provides 4th-year medical students with a systematic approach to diagnosing and managing back pain, covering differential diagnosis, clinical evaluation, and evidence-based treatment options. Designed to build practical clinical skills for one of the most common presenting complaints in primary care.
Key Takeaways
- Systematic differential diagnosis distinguishes mechanical, inflammatory, and red-flag causes of back pain in clinical practice.
- Evidence-based treatment begins with conservative management before escalating to pharmacologic or interventional options.
- Red-flag symptoms require urgent imaging and specialist referral to rule out cauda equina, malignancy, or infection.
- Most acute back pain resolves with activity modification and NSAIDs; avoid prolonged bed rest and early opioid use.
- Clinical examination findings guide imaging decisionsβroutine X-rays rarely change management in uncomplicated cases.
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