Pain Management - Low Back Pain

Welcome to this module on Managing Low Back Pain in Primary Care, which is Part 1 of two modules on this topic. The purpose of the modules is to support General Practitioners in management of LBP in line with current guidelines for best practice. It also forms part of a suite of eLearning modules on Pain Management which will be developed and launched over the next two years. This module has been developed by the ICGP in collaboration with the College of Anaesthetists. Access to the module is restricted to qualified General Practitioners and the website requires registration and an enrolment key which is provided by the ICGP.

Module Overview

External CPD Credits: 3
GMS Study Leave: 1/2 day
No. of Lessons: 3 
MCQ Assessment
Certificate of Completion


This eLearning module is divided into 3 key lessons. Each lesson comprises a video presentation conveying the core material. (The video presentation has been divided into Video(a) and Video(b) in Lessons 1 and 5, due to the volume of material covered). Most presentations are approximately 10 minutes long to facilitate opportunistic learning. Supplementary lessons, where non-core material is presented, and relevant printable and downloadable material are also included.

The production of this module has been supported through an unrestricted educational grant by Pfizer Pharmaceuticals Ireland Limited.


        NOTE: Non-Pharmacological and Pharmacological Management of Low Back Pain will be addressed in the module Low Back Pain in Primary Care, Part 2. You will receive an e-mail alert from the College when this module is available.
        The 3 lessons in this module include:
        • Lesson 1: Introduction, Diagnosis & Investigation of Low Back Pain 
          This lesson outlines the causes of low back pain, highlights 'red flags' and summarises issues relevant to diagnosis.
        • Lesson 2: of the Lumbar Spine in Primary Care 
          This lesson demonstrates a suggested examination of the lumbar spine, carried out by a GP with an interest in low back pain.
        • Lesson 3: Exploring Attitudes towards Low Back Pain in Primary Care 
          This lesson is designed to promote reflection on attitudes of GPs toward chronic low back pain and to contrast these attitudes with the experience reported by patients themselves. 

The Medical Council has defined eight domains of good professional practice. These domains describe a framework of competencies applicable to all doctors across the continuum of professional development from formal medical education and training through to maintenance of professional competence. Since they describe the outcomes which doctors should strive to achieve, doctors should refer to these domains throughout the process of maintaining competence. In order to assist you in planning your professional competence, ICGP eLearning highlight the domains addressed in each module as set out below. 
NOTE: While a number of ICGP modules have a tight focus on one or two domains, most modules endeavour to address all domains to some degree (low, medium, high). This is clearly displayed in the diagram below

The following resources have been added to supplement this module:
Lesson 1 Notes PDF document
Back Care Book PDF document
Back Pain Myths PDF document
Back Pain Clinic Information Booklet PDF document
Guide on Prevention and Management of Musculoskeletal Disorders PDF document
Managing Low Back Pain Allied Health PDF document
Managing Sciatica Allied Health PDF document
Spinal Referal Guidelines PDF document
Adelaide, Meath & National Children's Hospital (AMNCH) Spinal Referral Guidelines, 2012 PDF document

The following links are provided to support this eLearning course and to provide you with information for patients. Many are also available within the associated lesson. (Please Note: These are third party links).
Irish Pain Society website [ link ]
Chronic Pain Ireland website [ link ]
Adelaide, Meath & National Children's Hospital (AMNCH) Spinal Referral Guidelines, 2012. [ link ]
Clinical Resources for Lumbar Disorders, Government of South Australia [ link ]
Arthritis Ireland [ link ]
Sheffield Back Pain site [ link ]
NICE Guidelines LBP 2009 [ link ]
Back Pain Poster, Health & Safety Authority [ link ]
Guide on Prevention & Management of Musculoskeletal Disorders, Health & Safety Authority [ link ]
Guidance on Manual Handling in Health Care, Health & Safety Authority [ link ]
Health & Safety Executive UK, Back Pain site [ link ]
The Back Care Book, A Guide to Keeping your Back Healthy (PATIENT RESOURCE) [ link ]
Irish Pain Society, Pain Management Programme Video (PATIENT RESOURCE) [ link ]
Chronic Pain Ireland, Videos (PATIENT RESOURCE) [ link ]
Coping With Pain Booklet, Arthritis Ireland (PATIENT RESOURCE) [ link ]
Last modified: Thursday, 26 November 2015, 3:35 PM