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Red Flags (Low Back Pain) ((older personwith hip fracture, prolonged use…
Red Flags (Low Back Pain)
Severe low back pain after trauma
Onset of low back pain before:
pain mostly nocturnal
more stiffness > 1 hour
history of unexplained peripheral arthritis or inflammatory bowel disease
less pain when lying down or exercising
iridocyclitis
good response to NSAIDs
male sex
elevated ESR
age 20 years
Onset of low back pain before:
age 20 years
palpable misalignment of the processi spinosi at the L4-L5 level
older personwith hip fracture
prolonged use of corticosteroids
low body weight
local percussion pain
age over 60 years
tenderness and axial pressure pain in the spinal column
previous vertebral fracture
marked height reduction
recent fracture (< 2 years ago)
increased thoracic kyphosis
Onser of the low back pain after age 50 years, continuous pain regardless of:
general malaise
history of malignancy
nocturnal pain
unexplained weight loss
posture of movement
elevated erythrocyte sedimentation rate (ESR)
Royal Dutch Society for Physical Therapy. (2016). KNGF Guideline Low Back Pain.
Retrieved from
http://95.211.164.114/images/pdfs/guidelines_in_english/low_back_pain_practice_guidelines_2013.pdf
malignity?
Osteoporotic vertebral fracture?
Ankylosing spondylitis?
vertebral fracture ?
severe spondylolisthesis?