Care Pathway for the Management of Lumbar Disc Herniation with Radiculopathy

Offer information on nature, management, the course of the back pain as a framework for the initiation of a program of care

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Aim to understand the patient's beliefs and expectations about their low back pain and address any misunderstandings (e.g. low back pain is caused by serious pathology) or apprehensions through education and reassurance. 

Educate and reassure the patient about the favourable prognosis of lumbar disc herniation with radiculopathy and reinforce the importance of maintaining activities of daily living. Example Script

No

No

No

Yes

Are symptoms ≤3 months?

Yes

Management of Symptoms

 

Based on shared decision making between the patient and provider, any one of the following therapeutic interventions is recommended:

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Yes

Yes

No

No

Discharge

Are symptoms >3 months?

Yes

Yes

Yes

Discharge

No