J. Scott Bainbridge MD
This treatment guide was originally written for a research protocol, to guide the conservative treatment of cervical radicular (shoulder/arm) pain. This guide also serves, however, to help direct the care of neck and back pain, and, lumbosacral and thoracic radicular pain.
The conservative management of spine related pain and dysfunction requires a multi-disciplinary approach. Optimizing outcomes relies on the physiatrists’ use of physical, pharmacologic, and psychological options to provide individualized and comprehensive pain management and functional rehabilitation programs for each patient.
Physiatrists, or other conservative spine care providers, must also be able to provide counseling regarding the option of surgical consultation, in the context of a comprehensive care plan. Circumstances such as severe and disabling pain, progressive weakness, or loss of balance, coordination, or bowel or bladder function may require urgent surgical intervention.
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