Chronic Pain Video

AAFP POEMs: Managing Chronic Low Back Pain

Presented on September 7, 2022 by Drs. Cristina Cepeda and Jordan Kampschmidt:
Chronic Lower Back Pain (CLBP) is one of the most frequent chief complaints bringing patients into the primary care provider’s office, and a source of frustration for both providers and patients alike. Treatment of CLBP is highly nuanced and the burden of cost both financially and indirectly can be prohibitive for many. In order to most efficiently deliver effective care, regular analysis of diagnostic and treatment modalities should be reviewed to keep practices updated with evidence. POEMs (Patient Oriented Evidence that Matters) were developed in order to allow practitioners to review evidence that addresses clinical questions faced on a daily basis, and to provide potential ways to adjust and amend their care to best serve their patients. We will review two POEM articles investigating the effects of in-office review of MRI results with patients and compare how ‘traditional’ vs ‘clinical’ reporting influences the patient’s perception of pain, and a systematic review of RCTs examining management strategies for chronic lower back pain in the primary care setting.