Overview
Low back pain is a public health problem with major individual and socio-economic repercussions. In primary care, strong disparities are observed in the management of low back pain patients. While general practitioners (GPs) and physiotherapists appear as two essential first-line caregivers, collaboration between these professionals remains underdeveloped, most often characterized by a lack of consultation or coordination. Systematic increased interprofessional collaboration is likely to improve the results of the care pathway, by optimizing the existing care offer.
Eligibility
Inclusion Criteria:
Adult patients between the ages of 18 and 65
- Patients consulting their GP for a first or new eisode of acute low back pain (more than 12 months from the previous one) with a STarT Back screening tool score greater than 3.
- OR low back pain at risk of chronicity (presence of yellow flags, according to the recommendation of the High Health Authority (HAS) of 2019
- OR recurrent low back pain: in the event of recurrence of low back pain within 12 months after the previous episode, then considered to be at risk of chronicity
- OR having chronic low back pain (low back pain for more than 3 months)
- Patients benefiting from the general social security system
- Patients who understand and speak French fluently
- Patients who have given their consent after having received complete information on the protocol
Exclusion Criteria:
- Minor patients
- Pregnant women (declared pregnancy) or immediately postpartum (up to 3 months)
- Patients with "red flags" (serious neurological impairment, cancer, infection, fracture or inflammatory disease), according to the 2019 HAS recommendation
- Patients referred immediately for imaging or specialist advice during the first consultation with the GP (suspicion of underlying pathology)
- Patients with no history of acute low back pain, at low risk of chronicity (STarT Back screening tool score less than or equal to 3)
- Patients with a contraindication to rehabilitation by physiotherapy
- Patients who have already undergone spine surgery
- Patients with cognitive impairment
- Patients whose life expectancy is less than 12 months
- Patients under guardianship or curatorship, under judicial protection or safeguard of justice
- Patients not affiliated to the general social security system
- Patients with difficulties in understanding the French language
- Patients with an inability to give express consent