What is the best next step in managing this patient?

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Last updated: April 7, 2025 • View editorial policy

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From the Guidelines

The best next step in management of this patient is to provide them with education and information about their condition and management options. This approach is supported by the most recent and highest quality study, which emphasizes the importance of patient education in the management of musculoskeletal pain 1. The study, published in the British Journal of Sports Medicine in 2020, highlights that providing patients with education and information about their condition and management options is a key component of best practice care for musculoskeletal pain. Some key points to consider when providing patient education include:

  • Ensuring that patients have a clear understanding of their diagnosis and the underlying causes of their pain
  • Discussing the various management options available, including pharmacological and non-pharmacological interventions
  • Encouraging patients to take an active role in their care and management
  • Providing patients with resources and support to help them manage their condition effectively. By prioritizing patient education, healthcare providers can empower patients to make informed decisions about their care and improve their overall quality of life.

From the Research

Best Next Step in Management

To determine the best next step in management of the patient, consider the following factors:

  • Evaluate the prognosis and treatment options available to the patient 2
  • Understand the patient's priorities and values, and how they align with the likely prognosis and treatment options 2
  • Consider the trustworthiness of the development process and the extent to which the recommendations are applicable to the patient's individual circumstances and values 3

Key Considerations

When interpreting clinical and laboratory tests, consider the importance of context and the implications of the results 4

  • Ensure that the patient has a clear understanding of their treatment plan, which can be facilitated by quality communication and a strong patient-physician relationship 5
  • Factors such as knowing the attending physician's name, having a primary care physician, and educational background can impact the patient's understanding of their management plan 5

Decision-Making Framework

Use a shared decision-making framework to formulate a recommendation, taking into account the patient's priorities, values, and individual circumstances 2, 3

  • Consider the range of priorities that are important to the patient, and base the recommendation on the patient's priorities that are most compatible with the likely prognosis and available treatment options 2

References

1
Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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