back pain 12 2020 note
Approach to back pain
- Is it really back pain
- How worried spinal urgency/emergency
- How progressive is back pain
Red Flags
- fever
- incontinence
- night sx
- weakness, loss of sensation
- saddles anesthesia
Yellow Flags
Physical Exam
https://www.youtube.com/watch?v=q1gX9hORtLY
Extend leg out when helping patient up on to chair
Crossed SLR has LR 3.4
SLR more for L5 S1
Imaging
- avoid imaging in first 6 weeks
- avoid in nonspecific sx
- American college of radiology
Treatment