Formerly known as ISAEC, the RAC-LBP is a free, Ministry of Health initiative designed to help patients and Primary Care Providers (PCP’s) manage low back related pain. Only PCP’s who are registered with RAC-LBP can refer and patients must meet the following criteria:
Inclusion criteria for RAC LBP program:
- Patients with 6 weeks to 12 months of persistent lower back pain and/or related symptoms (e.g., sciatica, neurogenic claudication)
- Patients with unmanageable recurrent episodic lower back pain and/or related symptoms of less than 12 months duration post-recurrence.
It is recommended for PCP’s to consider referral in the above-mentioned scenarios prior to imaging, specialist referral, or initiation of an opioid prescription (when possible).
Exclusion Criteria for RAC LBP program:
- Patient with RED FLAGS
- Initial low back related symptoms <6 weeks post onset
- Constant/persistent LBP-related symptoms >12 months post onset
- <18 years of age
- Unmanaged established chronic multisite pain disorder
- Unmanaged established narcotic dependency
- Active LBP-related WSIB claim
- Active LBP-related motor vehicle accident claim
- Active LBP-related legal claim
- Pregnant/post-partum patients (<1 year)
Registered PCP’s will be granted access to the referral form and fax number.
Appropriate patients will be assessed by an Advanced Practice Provider (APP) who is a physiotherapist or chiropractor with advanced training in management of lumbar related pain. APP assessments are typically arranged within 4 weeks of receipt of referral. APP’s will provide recommendations and a treatment plan for the patient. When indicated, RAC-LBP can arrange for spinal imaging and referral to specialist.
Please see the RAC-LBP website for further info and to access the PCP onboarding module: https://www.lowbackrac.ca/
For program specific questions or feedback, please contact the regional Practice Lead, Savvas Frantzeskos PT, at firstname.lastname@example.org or 613-544-3400 x 2328.