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What are the red flags for sciatica?

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[PDF] Red flags presented in current low back pain guidelines: a review
All but one guideline (United 2790 Eur Spine J (2016) 25:2788–2802 123 Table 1 Clinical guidelines regarding red ﬂags Guideline Patient population Red ﬂags Cited evidence to support inclusion Australia Clinicians and patients Acute ( \ 3 months) nonspeciﬁc low back pain Fracture: History of (major) trauma Minor trauma (if [ 50 years, history of osteoporosis and taking corticosteroids) Malignancy: Past history of malignancy; age [ 50 years; failure to improve with treatment; unexplained weight l
Acute low back pain | Emergency Care Institute
## Red Flags History of cancer Unexplained weight loss Severe pain when supine and/or at night Age <16 or >50 years History of significant trauma Intravenous drug abuse Recent bacterial infection or fever Immune suppression (HIV, transplant, corticosteroids) Saddle anaesthesia Bladder dysfunction (urinary retention or incontinence) Bowel dysfunction (faecal incontinence) Neurological deficit in either or both lower limbs (especially if progressive) Persistent symptoms for >4 weeks
[PDF] Beware the cauda equina - Medicine Today
Discussion Cauda equina syndrome is a rare but serious condition that occurs when the nerve roots of the cauda equina are com-pressed, disrupting motor and sensory function to the bladder, bowel and lower limbs (Figure 2). It can lead to urinary or faecal incontinence, sexual dysfunc-tion and even permanent paralysis. The incidence of cauda equina syndrome is about one per 1.8 million population per year, and one per 830 patients with symp-tomatic disc herniation per year.2 It is more common i
Re-evaluating Red Flags for Back Pain | Sports Medicine Section
When gathering the history from a patient with lower back pain, it is important to note that while positive responses to “red flags” prompt additional investigation, negative responses do not absolutely exclude emergent pathology.4 In one retrospective review, researchers found that upwards of 64% of patients with a spinal malignancy had no associated red flags.4 Inversely, the presence of red flags does not always signify “badness.” According to a review of approximately 1200 patients in primar
Diagnosis and management of low-back pain in primary care | CMAJ
Some clinical guidelines encourage diagnostic imaging when one red flag is present (i.e., an alerting feature such as night pain).30 Although serious disease is uncommon, red flags may be common; therefore, this approach is unwise. For example, in a prospective longitudinal study involving 482 consecutive patients who attended a back pain triage clinic, 213 (44%) reported night pain, yet none of the these patients had serious disease.31 In an Australian cohort of 1172 patients,18 where less than
Progressive lower back pain | health.vic.gov.au
+ recent significant trauma Details of previous medical and non-medical management including the course of treatments and outcome of treatments If progressive neurological deficit, detail duration of neurological signs and symptoms, include affected side If neurogenic claudication, radicular symptoms (sciatica) or suspected serious pathology, MRI scans or CT imaging (including date and details of the diagnostic imaging practice). [...] ## Criteria for referral to public hospital service Sev
IMTA - Spinal Red Flags
• Category III – Factors that require further physical testing and differentiation analysis Any red flags from category I can suggest serious pathology. These include neurological deficit not explained by a mono-radiculopathy, perianal region sensory changes, pathological changes in the bowel & bladder, non-mechanical pattern of symptoms, progressive neurological deficit and pulsatile abdominal masses. Category II red flags include age of onset > 50 years, clonus, fever, elevat
[PDF] Diagnostic triage for low back pain - The Medical Journal of Australia
meaning that both a positive and negative test result are uninformative.8Based on two recent Cochrane reviews, only a small subset of red ﬂags (ie, older age, prolonged corticosteroid use, severe trauma and presence of a contusion orabrasion) are informative fordetection offracture, and a history ofmalignancy is theonly red ﬂagincreasing thelikelihood of spinal malignancy.8 For patients with suspected speciﬁc spinal pathology, the condi-tion itself dictates the next steps the GP should take (Box
[PDF] Low Back Pain Clinical Care Standard 2022
16 | Australian Commission on Safety and Quality in Health Care Quality statement 1 Related resources Evidence-based pathways to guide assessment: ■ New South Wales Agency for Clinical Innovation Management of People with Low Back Pain: Model of care9 – provides guidance on the care to be provided to patients who present to their general practitioner or the emergency department with low back pain ■ Emergency Care Institute New South Wales Acute Low Back Pain74 – provides guidance on the care to