Lecture notes

Investigation of back pain

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Module
Medicine

Institution
Queens University Belfast (QUB)

This document contains all the relevant student knowledge pertaining to the investigations of back pain. It includes: Typical and atypical history Differential diagnosis Exam findings Common management plans

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Uploaded on December 18, 2022
Number of pages 8
Written in 2022/2023
Type Lecture notes
Professor(s) Caitlin austin
Contains All classes

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Hx Exam
I
Investigate
2
Specific back pain Non specific back pain
2
Rootpain Serious pathology

Inflammatory vs Mechanical
Age c 40 Any age
Gradual onset Acute onset
stiffness 730 mins Mild AM stiffness 230mins
Morning
Nocturnalpain No nocturnal pain
Improves with activity Worse on
activity

Red flags
Non mechanical pain
c 20 ss lo
y
PH Carcinoma Steroids HIV
Systemic Malaise fever weight loss
Neuro
symptoms
Incontinence

, A Specific mechanical back pain
Non Defined as

Symptoms without a clear cause No anatomical
cause identified Reassure pts t
Acute phase I 6 weeks
y advise active life
Most of in this time
likely chance
recovery style
Recurrence common

offer physio
Sub acute
phase 6 weeks 3 months Chiro
Ideal intervention interval

Chronic 3 months Refer MDT approach
least chance of 1
recovery

B Root pain On the post surface

Sharp pain
Radiates to foot
Worse than back pain

Disc prolapse Most commonly occurs at 1415 or

15 51
aged 30 50
Herniated disc

Xxx Compressed N root

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