BACKPAIN/REDFLAGSSciatica (Cancer (> 50 YOA, Gradual onset of symptoms.…
onset of severe central spinal pain
by lying down.
There may be a history of major
or even just strenuous lifting in people with
or use of
of the spine (such as a step from one vertebra to an adjacent vertebra) may be present.
over a vertebral body.
onset of symptoms.
Severe unremitting pain
aching night pain
pain aggravated by straining
(for example, at stool, or when coughing or sneezing), and
after conservative low back pain therapy.
Past history of cancer
— breast, lung, gastrointestinal, prostate, renal, and thyroid cancers are more likely to metastasize to the spine.
(such as discitis, vertebral osteomyelitis, or spinal epidural abscess)
Tuberculosis, or recent urinary tract infection.
History of intravenous drug use.
Cauda equina syndrome
Severe or progressive bilateral neurological deficit of the legs, such as major motor weakness with knee extension, ankle eversion, or foot dorsiflexion.
Difficulty initiating micturition or impaired sensation of urinary flow, if untreated this may lead to irreversible
Urinary retention with overflow urinary incontinence
Loss of sensation of rectal fullness, if untreated this may lead to irreversible
Perianal, perineal or genital sensory loss (saddle anaesthesia or paraesthesia).
Laxity of the anal sphincter.
Sciatica (lumbar radiculopathy)