At Hyatt Regency Pune

10-13 Aug, 2017

10:15 am - 10:25 am 
Introduction, Problem Statement, Classification of low back pain.  How to diagnose red flag conditions in back pain. 
10:25 am - 10:40 am 
Short Pathophysiology of Causes of Low Back Pain 
K. Rath
10:40 am - 11:15 am 
Case Scenario 1  Facet Joint Arthropathy
Rabin 49 year-old farmer injured her low back nine months ago picking up weight. Since that time, he had dull pain localized to the central low back, with some radiation to the left buttock. There is no leg pain. Prior to this episode, he had minor twinges of low back pain when lifting or carrying, but these always settled quickly without needing medical attention. After the incident, he took six weeks off work, during which time he tried rest, stretching exercises, heat and cold, and had a course of physiotherapy care with limited benefit. He returned to work but continues to experience difficulties. Currently, he takes Paracetamol 500 mg tablets as needed, averaging four per day. He has also used ibuprofen tablets, 400 mg up to TID. He is otherwise well, although he has gained 15 pounds due to reduced activity since his back pain began. He has no lower extremity weakness or sensory loss, no fever, and no impairment of bowel or bladder control.
There is no history of direct trauma to the back. Her pain improves with rest and worsens with activity especially sitting to standing is very painful. Plain X-rays of her lumbar spine taken after three months of symptoms were normal, other than minor degenerative spurring at the L4-5 level.
  10:40 am - 10:45 am 
 Case 1 Presentation + investigation findings  
10:45 am - 10:55 am 
Diagnostic criteria and investigation advices for Facet Joint Arthropathy 
  10:55 am - 11:05 am 
How to exclude Differental diagnosis ?
 11:05 am - 11:15 am 
Treatment consideration with current  evidence and newer/experimental treatment options for Facet Joint Arthropathy
11:15 am - 11:50 am 
   Case Scenario 2  (Discogenic Pain ) 
A 48-year-old insurance salesman presents with a 25-year history of back pain. He developed severe back pain while stacking shelves at the local supermarket at age 23. The pain resolved after 10 days of bed-rest, followed by 3 months of physiotherapy.  Due to his occupation he had to ride motorcycle for long hours. He has had multiple episodes of back pain occurring at increasing regularity over the years and, in the past 10 years, Currently, he has back pain measuring 8 out of 10 on a visual analogue scale. He can sit for a only few minutes. He has no other medical conditions. On examination, his spinal range of motion is very disturbed. . He can stand on his toes and heels and has a normal neurological examination. A straight leg raise causes no pain or restriction.
  11:15 am - 11:20 am 
 Case 2 Presentation+ investigation findings  
 11:20 am - 11:30 am 
Diagnostic criteria and Investigation advices for  Discogenic Pain
11:30 am - 11:40 am 
How to exclude Differental diagnosis?
- 11:50am 
Treatment consideration with current evidence and outcome, Newer/experimental treatment options for Discogenic Pain
 11:50 am - 12:25 pm 
Case Scenario 3 (Lumbar Canal Stenosis)  
A 60 years aged man suffering from back pain since last 10 years, for last 1 year he often experience leg fatigue, pain, numbness and weakness in both the legs. He cannot walk more than 5 minutes continuously due to leg pain and heaviness. He can walk again after taking rest.
On examination both the Dorsalis pedis artery are well  palpable, there is no motor weakness in lower limbs, straight leg rising tests do not increase pain. He states that he can walk better on slightly leaning forward.
 11:50am -11:55am 
 Case 3 Presentation + investigation findings 
  11:55am -12:05pm 
Diagnostic criteria  and 
Investigation advices for Lumbar Canal Stenosis    
  12:05pm -12:15pm 
How to exclude Differental diagnosis?
 12:15 pm -12:25pm 
Treatment consideration with cuttent evidence and outcome,  Newer/experimental treatment options for Lumbar Canal Stenosis
 12:25 pm to 01:00 pm 
Neurostimulation in FBSS