Musculoskeletal (MSK) - General Information

Member-facing name: Back Pain Relief

Program Manual VP Card

Description:

Vida’s MSK program is designed to be a Physical Therapist supervised, Health Coach led program to help members reduce lower back pain, improve function, and prevent future back pain exacerbations. The member will be expected to complete 3 exercise sessions a week and to walk on days they are not exercising for 10-15 minutes. The program is designed to provide a customized exercise pathway for the member with 4 different classifications and 3 levels of exercise for each classification for both English and Spanish languages. Coaches will connect with the member weekly throughout the program to assist the member with accountability, goal setting, education and monitoring of their progress, and will escalate members as necessary to a licensed Doctor of Physical Therapy for additional consultation as necessary.

Members are screened prior to entering the program using a questionnaire that assesses their current functional level, symptoms, limitations, and mindset of their injury. Using the Oswestry Disability Index, and other curated information, we can ensure the member is placed within a pathway of exercises that addresses the complexity of their spinal dysfunction, and safeguards have been instituted to verify and confirm these classifications are ideal for the member’s limitations.

Who is Eligible:

Members who are part of an organization that has chosen to include Vida MSK offering to their employees. 

Coach Type:

Members are provided with a Health Coach for weekly consults and a Licensed Doctor of Physical Therapy with at least 3 years of outpatient orthopedic practice.

Exclusion Criteria:

• Congestive heart failure
• Chest pain with activity
• Restricted from physical activity by my doctorKidney failure, with or without dialysis
• Liver failure
• Nighttime Back Pain
• Unable to stand for at least 30 minutes
• Eating disorder, such as anorexia or bulimia, or eating disorder treatment in your past
• In the 3rd Trimester of PregnancyOrgan or bone marrow transplant in past year
• Chemotherapy or radiation treatment now or in last 6 months
• In end-of-life or hospice careWeakness (trouble standing on toes or getting out of chair)
• Pins and Needles feeling or numbness in legs
• Changes in leakage of urine or feces in the past 6 weeks
• Numbness in the Saddle area between the legs/in crotch
• Unexplained weight loss
• Recent trauma (fall, car accident, etc.)
• Fever or severe infection in the past 2-3 weeksPain for less than 6 weeks

Goals of Program: 

• To reduce pain sxs from a subacute back pain injury, 
• Improve knowledge of self care for low back pain and prevention of future exacerbations. 
• Create an appropriate exercise strategy for member’s symptoms to be completed 3 times a week for 15 minutes
• To walk 15 minutes for fitness 4 times a week on days not performing exercise sessions.
• To reduce the need for diagnostic imaging, injection and surgical intervention of low back pain
• To improve functional mobility and reduce pain
• To reduce absenteeism due to low back pain