‘BackPainAP
- No evidence of "red flag" signs including weight loss/pain unrelieved by rest concerning for malignancy. Bowel/bladder incontinence w/ or w/o major motor weakness, saddle anesthesia concerning for Cauda Equina Syndrome. Fall from height, MVC, osteoporosis w/ injury, age > 70 yo, prolonged steroid use are concerning for fracture. Severe pain w/ spinal surgery in last year, IVDA, immunosuppression, fever are concerning for infection. - If serious condition suspected based on red flag signs above, consider MRI. - No concern for bone marrow neoplasm therefore will not consider CBC, ESR, and CRP - Pt was advised to stay active without twisting or bending and avoid bedrest. - Recommended NSAIDs (ibuprofen 400 to 600 mg four times daily or naproxen 250 to 500 mg twice daily) and Tylenol rotated q6hr - If pain does not improve consider muscle relaxant such as Flexeril 5 mg TID - Ice/heat have modest benefit in first 5 days after injury - Pt to f/u in 2-4 weeks if symptoms do not improve - Recommended f/u sooner if pt experiences new or worsening symptoms including but not limited to numbness/tingling, weakness, incontinence of bowel/bladder.
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