back pain 12 2020 note
Approach to back pain
- Is it really back pain
- How worried spinal urgency/emergency
- How progressive is back pain
![](https://photos.thisispiggy.com/file/wikiFiles/20201216143446.png)
Red Flags
- fever
- incontinence
- night sx
- weakness, loss of sensation
- saddles anesthesia
![](https://photos.thisispiggy.com/file/wikiFiles/20201216143554.png)
Yellow Flags
![](https://photos.thisispiggy.com/file/wikiFiles/20201216143636.png)
Physical Exam
https://www.youtube.com/watch?v=q1gX9hORtLY
![](https://photos.thisispiggy.com/file/wikiFiles/20201216150027.png)
Extend leg out when helping patient up on to chair
![](https://photos.thisispiggy.com/file/wikiFiles/20201216150300.png)
Crossed SLR has LR 3.4
SLR more for L5 S1
![](https://photos.thisispiggy.com/file/wikiFiles/20201216150529.png)
![](https://photos.thisispiggy.com/file/wikiFiles/20201216150610.png)
![](https://photos.thisispiggy.com/file/wikiFiles/20201216152934.png)
![](https://photos.thisispiggy.com/file/wikiFiles/20201216153044.png)
Imaging
- avoid imaging in first 6 weeks
- avoid in nonspecific sx
![](https://photos.thisispiggy.com/file/wikiFiles/20201216154126.png)
![](https://photos.thisispiggy.com/file/wikiFiles/20201216154339.png)
- American college of radiology
![](https://photos.thisispiggy.com/file/wikiFiles/20201216161643.png)
Treatment
![](https://photos.thisispiggy.com/file/wikiFiles/20201216162836.png)