Low Back Pain red flags
An AAA often grows slowly
asymptomatic
Signs and symptoms that your AAA has ruptured may include:
*Sudden, intense and persistent abdominal or back pain, which can be described as a tearing sensation* Pain that radiates to your back or legs Sweatiness Clamminess Dizziness Nausea Vomiting Low blood pressure Fast pulse
As an abdominal aortic aneurysm enlarges, some people may notice
--> Back pain A pulsating feeling near the navel Deep, constant pain in your abdomen or on the side of your abdomen
Abdominal Aortic Aneurysm red flags with Low Back Pain
Abdominal pulsating mass Atherosclerotic vascular disease Pain at rest or nocturnal pain Age greater than 60 years
Cancer Related Red Flags with Low Back Pain
History of cancer Unexplained weight loss >10 kg (22lbs) within 6 months Age over 50 years or under 18 years old Failure to improve with therapy Pain persists for more than 4 to 6 weeks Night pain or pain at rest
Significant Herniated nucleus pulposus
Major Muscle Weakness (strength 3 of 5 or less) Foot drop
Infection Related Red Flags with Low Back Pain
Persistent fever (Temperature over 100.4 F) Poor Test Sensitivity for Spinal Infection History of intravenous Drug Abuse Severe Pain Lumbar Spine surgery within the last year Recent bacterial infection Urinary Tract Infection or Pyelonephritis Cellulitis Pneumonia Wound (e.g. Decubitus Ulcer) in spine region Immunocompromised states Systemic Corticosteroids Organ transplant Diabetes Mellitus Human Immunodeficiency Virus (HIV) Rest Pain
Vertebral Fracture related red flags with Low Back Pain
Prolonged use of Corticosteroids Age greater than 70 years History of Osteoporosis Mild Trauma over age 50 years (or with Osteoporosis) Recent significant Trauma at any age Ejection from motor vehicle Fall from substantial height
Cauda Equina Syndrome Related Red Flags with Back Pain
Urinary Incontinence or *retention* * Saddle anesthesia* Anal sphincter tone decreased or Fecal Incontinence Bilateral lower extremity weakness or numbness Progressive neurologic deficit Major motor weakness Major sensory deficit
General (weak Test Specificity)
Vertebral tenderness Limited spine range of motion