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