Stage & SIN

• Severity

  • the degree to which symptoms restrict movement and function, also includes the intensity of symptoms
• Irritability:

  • the degree to which the symptoms increase and decrease in intensity
• Stage of the disorder - Acute:

  • Time limited response to trauma or noxious events
  • May develop without trauma
  • Management involves immediate pain control, prevention of further damage/sensitisation, advice and education
• Stage of the disorder - Sub-acute:

  • transition following traumatic injury to normal and expected tissue healing, a time when symptoms usually subside as part of natural healing
  • Management to restore functional capacity, pain control, encourage activity
• Stage of the disorder - Recurrent:

  • new episode of previously experienced symptoms?
  • Management of symptoms as per acute stage, further investigation of contributing factors, active management
  • Onward referral?
• Stage of the disorder - Chronic:

  • longer than 3 to 6 months
  • Ensure no serious pathology, further investigation of contributing factors, consider long term management