Musculoskeletal & Rheumatology
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Acute/Chronic(> 12 weeks) back pain
HPI
Onset: •
Activity at onset: •
Location of pain: •
Radiation: •
Quality: •
Provoking factors: •
Alleviating factors: •
Neuropathic symptoms: •
Core
Red flags: ALL NEGATIVE
-Weakness: No
-Loss of bowel control: No
-Inability to void: No
-Fevers: No
-Immunocompromised: No
-Prev history of cancer: No
-Prev history of IVDU: No
»«YES - Pt requires urgent imaging with MRI!

Yellow Flags
-Do you think your pain will improve or worsen?
-Do you think you would benefit from activity,movement or exercise?
- How are you emotionally coping with your back pain?
- What treatments or activities do you think will help you recover?


O:
Gait: antalgic«, otherwise normal»«, •»
L-spine: No SEADs, pain with palpation of •
Flexion: •
Extension: •
Lateral flexion: •
Rotation: •

Root Strength (L/R) DTR (L/R) Light touch
L2: 5/5 5/5 Intact
L3: 5/5 5/5 Intact
L4: 5/5 5/5 2+ 2+ Intact
L5: 5/5 5/5 Intact
S1: 5/5 5/5 2+ 2+ Intact

S2/S3: deferred to due to lack of clinical concern
Babinski: «negative»
SLR: «positive»«ipsilateral pain»«negative»

A: «Back-dominant»«Leg-dominant» mechanical back pain; likely •
P:
Reassurance that symptoms improve in 1-2 weeks
Conservative mgmt while acute: heat, massage, stretching (demonstrate or handout given), staying active
Physiotherapy consult if no improvement in 1-2 weeks
«Imaging not indicated at this time»
«Rx given: •»
Advised of red flags; f/u if no improvement after physio or PRN
Acute/Chronic(> 12 weeks) back pain
HPI
Onset: •
Activity at onset: •
Location of pain: •
Radiation: •
Quality: •
Provoking factors: •
Alleviating factors: •
Neuropathic symptoms: •
Core
Red flags: ALL NEGATIVE
-Weakness: No
-Loss of bowel control: No
-Inability to void: No
-Fevers: No
-Immunocompromised: No
-Prev history of cancer: No
-Prev history of IVDU: No
»«YES - Pt requires urgent imaging with MRI!

Yellow Flags
-Do you think your pain will improve or worsen?
-Do you think you would benefit from activity,movement or exercise?
- How are you emotionally coping with your back pain?
- What treatments or activities do you think will help you recover?


O:
Gait: antalgic«, otherwise normal»«, •»
L-spine: No SEADs, pain with palpation of •
Flexion: •
Extension: •
Lateral flexion: •
Rotation: •

Root Strength (L/R) DTR (L/R) Light touch
L2: 5/5 5/5 Intact
L3: 5/5 5/5 Intact
L4: 5/5 5/5 2+ 2+ Intact
L5: 5/5 5/5 Intact
S1: 5/5 5/5 2+ 2+ Intact

S2/S3: deferred to due to lack of clinical concern
Babinski: «negative»
SLR: «positive»«ipsilateral pain»«negative»

A: «Back-dominant»«Leg-dominant» mechanical back pain; likely •
P:
Reassurance that symptoms improve in 1-2 weeks
Conservative mgmt while acute: heat, massage, stretching (demonstrate or handout given), staying active
Physiotherapy consult if no improvement in 1-2 weeks
«Imaging not indicated at this time»
«Rx given: •»
Advised of red flags; f/u if no improvement after physio or PRN
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