Causes of Back Pain - Differential Diagnosis Algorithm

Always assess for red flags. If no red flags, assess after 6 weeks

Red Flags: bowel or bladder dysfunction, saddle paresthesia, constitutional symptoms, parasthesis, age >50, <18, IV drug use, neuromotor deficits, nocturnal pain, high energy trauma, past history of neoplasm

 • Fracture

 • Tumor/lnfection

 • Unresolved Radicular Symptoms

 • Cauda Equina Syndrome

 • Spondyloarthropathies

 • Myelopathic or Osteoarthritis



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