[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-563772-105":53,"doc-detail-563772-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","spine-low-back-assessment-clinical-pathway-version-1","Spine - Low Back Assessment Clinical Pathway - Version 1","","Clinical pathway for assessing and managing patients with low back conditions, guiding point-of-care providers through assessment, screening for red and yellow/psychosocial flags, risk stratification, diagnosis, consult and imaging decisions, and initial management. Defines mechanical versus non-mechanical back pain and specifies timelines for acute, sub-acute, chronic, and recurrent episodes. Includes triage steps for immediate referral or further investigations, plus follow-up intervals such as 6-week and 12-week reassessment.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/spine-low-back-assessment-clinical-pathway-version-1/563772/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/spine-low-back-assessment-clinical-pathway-version-1/563772.png","ImageObject",442,249,{"name":88,"@type":89},"Maya Linwood","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-10-12",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the purpose of the Low Back Assessment Clinical Pathway tool?","Question",{"text":108,"@type":109},"It guides clinicians on appropriate procedures for patient management, investigations, referrals, and evidence-based, goal-oriented care while identifying triggers for further assessment.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does the pathway triage patients based on red and yellow flags?",{"text":113,"@type":109},"If red flags are identified, immediate referral is required; yellow flags require further investigations, co-management, and other clinical support tools.",{"name":115,"@type":106,"acceptedAnswer":116},"When is routine imaging recommended for low back pain?",{"text":117,"@type":109},"Routine imaging is not recommended regardless of symptom duration unless there are clinical reasons suggesting serious underlying pathology (red flags) or imaging is necessary for planning and/or executing a specific evidence-based therapeutic intervention.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},563772,1792359695,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":30,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":140},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","| Spine: Low Back Assessment Clinical Pathway\u003Cbr>Release Date: November 2022\u003Cbr>Version 1 |  |\n| --- | --- |\n| Quick links: | S1 . Overview\u003Cbr>\u003Cbr>S2 . Acute/Sub-Acute Low Back Pain Pathway\u003Cbr>\u003Cbr>S3 . Consult & Imaging\u003Cbr>Decision Aid Tool\u003Cbr>\u003Cbr>S4 . History Taking\u003Cbr>\u003Cbr>S5 . Pattern Diagnosis\u003Cbr>\u003Cbr>S6 . Physical Examination \u003Cbr>S7A. Screening Red Flags \u003Cbr>S7B. Screening Yellow &\u003Cbr>Psychosocial Flags\u003Cbr>\u003Cbr>S8 . Risk Stratification\u003Cbr>\u003Cbr>S9A. Initial Management: Patient Education\u003Cbr>\u003Cbr>S9B. Initial Management: Pattern 1\u003Cbr>\u003Cbr>S9C. Initial Management: Pattern 2\u003Cbr>\u003Cbr>S9D. Initial Management:\u003Cbr>Pattern 3\u003Cbr>\u003Cbr>S9E. Initial Management: Pattern 4\u003Cbr>\u003Cbr>S10 . Chronic Low Back Pain Pathway\u003Cbr>|\n| This clinical decision-making tool will help guide clinicians with appropriate procedures for patient management, investigations, and referrals.\u003Cbr>Definitions:\u003Cbr>• Mechanical back pain (MBP): arises from the spinal structures including bone, ligaments, discs, joints, nerves, and meninges. MBP is experienced in the lumbar region, buttocks, coccyx, or over the greater trochanters. MBP may also extend to include the groin, genitals, and upper thigh region as a result of referred pain. MBP fluctuates with activity and is produced by movement/positions and is relieved by rest or change in posture. Leg pain is radicular pain felt below the gluteal fold resulting from irritation of one or more nerve roots, particularly of the sciatic or femoral nerves.\u003Cbr>• Non-mechanical back pain (NMBP): associated with symptoms or signs of serious medical (e.g. , inflammatory arthritis, neoplasm) or psychological conditions.\u003Cbr>Timelines:\u003Cbr>• Acute: \u003C 6 weeks (sequential days)\u003Cbr>• Sub-Acute: ≥ 6 weeks to \u003C 3 months (sequential days)\u003Cbr>• Chronic: ≥ 3 months (sequential days)\u003Cbr>• Recurrent: at least 2 episodes in the past 12 months\u003Cbr>|  |\n\n\n| Spine: Low Back Assessment Clinical Pathways\u003Cbr>Section 1. Overview\u003Cbr>This tool has been developed for point-of-care providers (e.g. , primary care, allied health) who are managing patients with low back conditions. This tool will help guide assessment, screening, historytaking, physical examination, diagnosis, and treatment. It will provide evidence-based, goal-oriented management while identifying triggers for investigations and referrals. We acknowledge that this tool is not comprehensive but serves as a helpful clinical decision-making tool for managing low back conditions. When using this tool:\u003Cbr>• Sound clinical judgement should be used in conjunction with this tool as a guide;\u003Cbr>• Consult the CONSULT & IMAGING DECISION AID TOOL (Section 3) when ordering imaging or laboratory tests\u003Cbr>• Referral to a surgeon is only indicated if patient desires and is medically appropriate or fit for surgery |  |  |  |\n| --- | --- | --- | --- |\n| \u003Cbr>Step 1: Initial Assessment: Perform Steps 1a-1e |  |  |  |\n| 1a: Perform FOCUSED HISTORY-TAKING (Section 4)\u003Cbr>1b: Identify RED FLAGS (Section 7A)\u003Cbr>1c: Identify YELLOW and PSYCHOSOCIAL FLAGS (Section 7B)\u003Cbr>1d: Assess likely recovery outcomes (Section 8)\u003Cbr>1e: Perform PHYSICAL EXAMINATION (Section 6) |  |  |  |\n| Step 2: Triage Were red or yellow flags identified in STEP 1? |  |  |  |\n|   YES \u003Cbr>\u003Cbr>NO  \u003Cbr>\u003Cbr>\u003Cbr>Proceed to STEP 3\u003Cbr>Yellow Flags require further investigations, co-management, and other clinical support tools.(Section 7B)\u003Cbr>Red Flags require immediate referral.\u003Cbr>(Section 7A)\u003Cbr>\u003Cbr>\u003Cbr>|  |  |  |\n| \u003Cbr>Step 3: Consult & Imaging Decision-Making |  |  |  |\n| Confirm appropriateness indications for surgical consults and imaging using the CONSULT & IMAGING DECISION AID TOOL (Section 3)\u003Cbr>|  |  |  |\n| \u003Cbr>Step 4: Clinical Decision-Making |  |  |  |\n| Identify referral patterns, timelines, and appropriate treatment measures using the CLINICAL DECISIONMAKING TOOL (Section 2 ; Section 10) .\u003Cbr>|  |  |  |\n| \u003Cbr>Step 5: Initial Management |  |  |  |\n| Educate the patient (Section 9A) and determine pain pattern (Section 5) .\u003Cbr>Mechanical Back Pain\u003Cbr>","cbCaidHKl0n21jCm","https://ap.wps.com/l/cbCaidHKl0n21jCm","pdf",1059143,"English","# S1. Overview\n# S2. Acute/Sub-Acute Low Back Pain Pathway\n# S3. Consult & Imaging Decision Aid Tool\n# S4. History Taking\n# S5. Pattern Diagnosis\n# S6. Physical Examination\n# S7A. Screening Red Flags\n# S7B. Screening Yellow & Psychosocial Flags\n# S8. Risk Stratification\n# S9A. Initial Management: Patient Education\n# S9B. Initial Management: Pattern 1\n# S9C. Initial Management: Pattern 2\n# S9D. Initial Management: Pattern 3\n# S9E. Initial Management: Pattern 4\n# S10. Chronic Low Back Pain Pathway","[{\"question\":\"What is the purpose of the Low Back Assessment Clinical Pathway tool?\",\"answer\":\"It guides clinicians on appropriate procedures for patient management, investigations, referrals, and evidence-based, goal-oriented care while identifying triggers for further assessment.\"},{\"question\":\"How does the pathway triage patients based on red and yellow flags?\",\"answer\":\"If red flags are identified, immediate referral is required; yellow flags require further investigations, co-management, and other clinical support tools.\"},{\"question\":\"When is routine imaging recommended for low back pain?\",\"answer\":\"Routine imaging is not recommended regardless of symptom duration unless there are clinical reasons suggesting serious underlying pathology (red flags) or imaging is necessary for planning and/or executing a specific evidence-based therapeutic intervention.\"}]","Spine - Low Back Assessment Clinical Pathway - Version 1 | PDF",1791838264,6]