Topic Info - BotMed Application

TopicName

Chronic Back Pain

ClinicalTests

MRI (R/O critical conditions)

ImagingStudies

PhysicalExams

Vital signs; neurologic exam (especially L4–S1 nerve roots); back palpation and range of motion (although rarely of diagnostic utility); hip exam (can refer pain to the back); consider rectal exam.

Comment

Location, quality, intensity, radiation, context (moving furniture, bending/twisting, trauma), timing (disturbs sleep); associated symptoms (especially constitutional, incontinence); exacerbating and alleviating factors; history of cancer, recurrent UTIs, diabetes, renal stones, IV drug use, smoking.

WebLink

https://www.aafp.org/afp/2015/0515/p708.html