Candidate’s Card

Setting: General Practice Clinic

Doctor: You see a 47-year-old woman who has been experiencing low back pain for the past few weeks.

Background: The patient has been experiencing persistent low back pain for the past few weeks. The pain is dull but constant and worsens with activities like bending or lifting. She has a sedentary job that involves long hours of sitting and is concerned that this might be contributing to her pain. The patient is worried about the cause of her pain and is seeking advice on how to manage it effectively. She wants to understand the possible causes, treatment options, and any exercises or lifestyle changes that could help relieve her pain and prevent it from worsening.

Task:

• Find out more about the patient’s symptoms, including the severity of the pain, how it affects her daily activities and any specific concerns she has.
• Explain the common causes of low back pain, particularly how a sedentary lifestyle might contribute to her condition, and reassure her that it is a common issue.
• Discuss treatment options, including over-the-counter medications, physical therapy, and other interventions like heat or cold therapy, tailored to her situation.
• Provide advice on exercises, proper posture, and ergonomic adjustments to her workspace, as well as lifestyle changes that can help alleviate and prevent future pain.
• Reassure the patient about the likely prognosis, emphasizing that most cases of low back pain improve with conservative management. Advise her on when to seek further medical attention if symptoms persist or worsen.