Derek Bairstow is a 48-year-old removals operative. He has been…

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Asked by asantewaa35

Derek Bairstow is a 48-year-old removals operative. He has been suffering from lower back pain for the past 3 months. The intensity of the pain has increased gradually over the past couple of days and as a result he has not been able to go to work. Although he cannot remember injuring his back, he has a very physical job working for a removals firm and believes continual muscle strain is the cause. Derek has been taking non-steroidal anti-inflammatory drugs for the pain but finds they provide little relief. The pain is such that he finds it difficult to sit comfortably or sleep. Today he has visited his GP for more advice… The GP reviews Derek’s analgesia regime and refers him for a CT scan to rule out spinal injury.
 

What type of pain is Derek suffering from?
How would you classify and categorize this kind of pain?
How do non-steroidal anti-inflammatory drugs work and what are their main side effects?
What further treatment options are available?
What patient education would you provide based on the etiology of his pain?
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