| CONSULT REQUEST GUIDELINES
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Low Back Pain
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Complete H/P to screen for potentially serious causes (tumors, infection, fracture, cauda equina syndrome)
Acute low back pain less than 4 weeks, may resolve spontaneously
Early return to activity
Other potential causes of low back pain:
1. Facet disease
2. Sacroiliac Joint dysfunction
3. Spinal Stenosis
4. Discogenic Pain
5. Radiculopathy
6. Vertebral body compression fracture
For more information regarding these conditions and procedures we offer please see our web page at www.umpain.com under the procedure section.
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| Suggested Additional Test/Management Prior to Specialty Visit |
Short trial of NSAID's, opioid's, muscle relaxants
Imaging Studies --Plain films, CT, MRI (gold standard)
Relevant past medical history (Failed Back Surgery) Back pain greater than three months we recommend an MRI. Referral to U of M Back & Pain Center
For more information regarding our program and what we offer please visit our website at U of M Back & Pain Center (www.umpain.com)
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| Patient Education/Information (includes preps) |
Exercise program for the back
Education on proper lifting, weight loss
U of M Back & Pain Center |
| Appointment Timeframe |
Next available appointment (0-2 weeks)
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| How to Get Results to Consultant |
UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit or fax to 734-936-6585 |
| Clinic Contact Information |
Physicians: 800-962-3555
Patient: 734-615-7246 |
| Clinic Location Sites |
Brighton Health Center
Burlington Building
Canton Health Center
Dexter
East Ann Arbor |
| UM Consulting Physician |
U of M Back & Pain Center Faculty
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| Revised on: |
10/01/2012 |
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