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
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
