Back Pain: Evaluation

  • Back Pain and Body Posture Evaluation Instrument for ...

    The BackPEI-A is a reproducible, valid, and reliable instrument for use in the evaluation of back and neck pain and their associated risk factors. The instrument also facilitates the evaluation of postural habits in activities of daily living in adults.

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  • UpToDate

    Rarely, back pain is a harbinger of serious medical illness. This discussion will focus on an approach to the initial evaluation, including diagnostic tests, of a patient presenting with low back pain in the primary care setting. The treatment of acute, subacute, and chronic low back pain are discussed separately.

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  • Low back pain in adults - Mayo Clinic

    Get medical care immediately if you have severe low back pain that: Is constant or intense. Causes weakness, numbness or tingling in one or both legs. Is associated with new bowel or bladder problems. Is accompanied by fever. Is associated with pain or throbbing in the abdomen. Is accompanied by unexplained weight loss.

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  • Evaluation of Back Pain in Children and Adolescents ...

    Dec 01, 2007· 5, 10, 11. Children and adolescents with back pain, abnormal physical findings, constant pain, nighttime pain, or radicular pain should receive further evaluation. C. …

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  • Chronic Low Back Pain: Evaluation and Management ...

    Jun 15, 2009· The initial evaluation, including a history and physical examination, of patients with chronic low back pain should attempt to place patients into …

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  • Diagnosis and Treatment of Acute Low Back Pain - American ...

    Back pain can be complex and difficult to describe in the short time you may have with your health care provider. This tool can help you create a detailed picture of your pain---where it is, how it feels, how much it hurts, and what triggers it. Fill it out before your visit, print it, and share it with your provider.

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  • Diagnose Back Pain Online with Our Pain Assessment Tool

    Step 3: Tell Us About Your Symptoms. Describe any pain-related symptoms. (Choose all that apply) *. Stabbing, shooting, or radiating pain. Tenderness, throbbing, or dull aching. Numbness, tingling, or pins-and-needles sensations. Burning or stinging. Stiffness or reduced range of …

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  • LUMBAR / SACROILIAC EVALUATION - RehabEdge

    Radiating painR LNumbness/ Tingling R LPain with sitting Pain with Standing . Trouble sleeping _____# Hours/ night_____ Symptoms worse in A.M. P.M. ... LUMBAR / SACROILIAC EVALUATION Last modified by: Randy C Moore Company:

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  • Documenting a Back and Neck Exam Made Simple | ThriveAP

    Dec 01, 2016· Inspection – Assess the back and neck for signs of trauma, post-surgical scars, and signs of pathology such as infection. Look at the alignment of the spine. Palpation – Palpate the back including the spine and paraspinal region noting areas of tenderness.; Range of Motion – Assess and document range of motion of the neck and back including flexion, extension, …

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  • MRI and X-Ray Almost Useless for Back Pain

    May 16, 2020· When it comes to diagnosing most back pain, MRI machines are like Monty Python’s medical machinery that goes “bing.” For back pain, MRI and X-ray are medical machines that make false alarms.. They don’t always make false alarms, of course. MRI is a miracle technology, no doubt about it — the ability to get clear images of soft tissues deep …

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  • Japanese orthopaedic association back pain evaluation ...

    Background: In 2007, the Japanese orthopaedic association back pain evaluation questionnaire (JOABPEQ) was established to overcome the limitations of the original JOA scoring system developed in 1986. Although this new self-administered questionnaire is a more accurate outcome measure for evaluating patients with low back pain, physicians were unable to as certain the …

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  • Evaluation of Neck and Back Pain - Musculoskeletal and ...

    In the spinal examination, the back and neck are inspected for any visible deformity, area of erythema, or vesicular rash. The spine and paravertebral muscles are palpated for tenderness, and change in muscle tone. Gross range of motion is tested. In patients with neck pain, the shoulders are examined.

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  • Chronic back pain: Evaluation | Keywords SelfStudy LLC

    Pain that originates from the spine, usually presents as low back or neck pain-- it infrequently presents as upper lumbar and mid-back pain. Pain is typically categorized as acute (2-4 weeks duration), subacute (up to 12 wks) or chronic (>12 wks). Proper clinical evaluation of a patient's pain should always begin with a thorough H&P, and should ...

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  • Evaluation of Neck and Back Pain - Musculoskeletal and ...

    Evaluation of Neck and Back Pain General. Because the cause of neck or back pain is often multifactorial, a definitive diagnosis cannot be established in many patients. However, clinicians should determine the following if possible: Whether pain has a spinal or extraspinal cause. Whether the cause is a serious disorder ...

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  • McKenzie Method Assessment - Spine-health

    Correct assessment or mechanical diagnosis is the key to prescribing effective back pain exercises.Without the aid of a good assessment, there are no McKenzie exercises; there are just exercises, the efficacy of which is questionable.

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  • Evaluation and Treatment of Acute Low Back Pain - American ...

    Apr 15, 2007· Diagnosis Acute low back pain is defined as pain that occurs posteriorly in the region between the lower rib margin and the proximal thighs and …

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  • Evaluation is treatment for low back pain - PubMed

    Objective: To investigate the effect of the examination process (history taking and physical examination) on pain and function.Methods: An observational cohort trial of patients presenting to outpatient physical therapy clinics for the first time with low back pain (n = 34, 57.7 ± 18.7 years, 53% ).A blinded investigator measured participants prior to the beginning of the initial ...

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  • Evaluation of Neck and Back Pain - Musculoskeletal and ...

    In patients with acute nonradicular back pain, treatment can be started without extensive evaluation to identify a specific etiology. Although serious spinal or extraspinal disorders are unusual causes, red flag findings often indicate the need for testing.

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  • Assessment and Management of Acute Low Back Pain ...

    Nov 15, 1999· In the primary care of patients with low back pain and leg symptoms, the neurologic examination can be limited to just a few tests. These include …

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  • Evaluation of Neck and Back Pain - Musculoskeletal and ...

    Several anatomic abnormalities (eg, disk bulging or degeneration, osteophytes, spondylolysis, facet abnormalities) are commonly present in people without neck or back pain, and thus are questionable as the etiology of pain.However, the etiology of back pain, particularly if mechanical, is often multifactorial, with underlying disorders exacerbated by fatigue, physical …

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  • Chronic low back pain: evaluation and management

    Chronic low back pain is a common problem in primary care. A history and physical examination should place patients into one of several categories: (1) nonspecific low back pain; (2) back pain associated with radiculopathy or spinal stenosis; (3) back pain referred from a nonspinal source; or (4) back pain associated with another specific spinal cause.

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  • PQRST Pain Assessment Method - Crozer Health

    Patient satisfaction with pain level with current treatment modality. Ask the patient what his or her pain level was prior to taking pain medication and after taking pain medication. If the patient’s pain level is not acceptable, what interventions were taken? Timely re-assessment following any intervention and response to treatment.

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  • Chronic Low Back Pain: Evaluation and Management

    Chronic Low Back Pain: Evaluation and Management ALLEN R. LAST, MD, MPH, and KAREN HULBERT, MD, Racine Family Medicine Residency Program, Medical College of Wisconsin, Racine, Wisconsin M ost primary care physicians can expect to see at least one patient with low back pain per week. Acute episodes of back pain are usually self-limited.

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  • Evaluation and Treatment of Low Back Pain in Family ...

    Nov 01, 2004· Low back pain is nearly ubiquitous in American society. It is frequently treated by family physicians and is the fifth most common reason for all physician visits.1 It is also a leading cause of lost work time and disability, responsible for direct health care expenditures of more than $20 billion annually.2 Many published guidelines for the diagnosis and management of low back pain …

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  • Assessment of back pain - Differential diagnosis of ...

    Jun 16, 2020· Low back pain (LBP) causes more disability globally than any other condition. The point prevalence is 9.4% and the lifetime prevalence exceeds 80%. LBP accounts for over 4% of accident and emergency department visits, making it one of the ten most common presenting complaints. The primary purpo...

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  • Back pain - Diagnosis and treatment - Mayo Clinic

    Aug 21, 2020· Most back pain gets better within a month of home treatment. However, everyone is different, and back pain is a complex condition. For many, the pain doesn't go away for a few months, but only a few have persistent, severe pain. Over-the-counter pain relievers and the use of heat might be all you need. Bed rest isn't recommended.

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  • 5 Basic Rules to get VA Disability for Back Problems

    Mar 20, 2020· Therefore, anything above middle or lower back pain will be referred to as the “cervical spine” and falls under a different rating system. The thoracolumbar spine is composed of two parts of the spine; the thoracic (twelve vertebrae) and the lumbar (5 vertebrae). These are the two areas that will be examined in order to determine benefits ...

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  • Documenting a Back and Neck Exam Made Simple | ThriveAP

    Dec 01, 2016· An exam of the back and neck can indicate a variety of pathologies. Examining the neck, for example, you may find jugular venous distention, a cardiovascular abnormality. Examining the back, you may find costovertebral angle tenderness (CVAT), indicative of a renal abnormality.

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  • Assessment of back pain - Diagnosis Approach | BMJ Best ...

    Routine laboratory studies are not necessary in the evaluation of back pain unless the physician is concerned about the possibility of malignancy or infection (i.e., non-mechanical back pain, fever, chills, night sweats, and/or weight loss). In these cases full blood count, erythrocyte sedimentation rate, C-reactive protein, and blood cultures ...

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  • Acute Low Back Pain: Recognizing the “Red Flags” in the ...

    Jun 06, 2013· In over 90% of these patients, back pain is the initial symptom. 1,9,10 The evaluation of these patients will be covered in my article on page 457. Urinary, abdominal, or chest complaints. Although there are no specific red flags, it is important to review these areas to avoid overlooking disease processes referring or radiating to the back.

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  • Japanese Orthopaedic Association Back Pain Evaluation ...

    Background: The project to develop a new Japanese Orthopaedic Association (JOA) score rating system for low back disorders, the JOA Back Pain Evaluation Questionnaire (JOABPEQ), is currently in progress. Part 1 of the study selected 25 "candidate" items for use on the JOABPEQ. The purpose of this current Part 2 of the study was to verify the reliability of the questionnaire.

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  • Low Back Exam, Approach to | Stanford Medicine 25 ...

    The first part of the low back exam starts with inspection. First note the contour of the spine. Appreciate the normal posterior curviture of the upper spine (kyphosis) and the normal anterior curviture of the lower spine (lordosis). Lack of lumbar lordosis (i.e. a flat lower spine) is often associated with low back pain.

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  • Back Pain Map - The ACPA

    That can be a big step in gaining better control over your pain and improving your quality of life. 1. Click at least one area of the body marked by a red arrow. 2. Select all symptoms that apply in the menu that appears. 3. Click 'Print' when ready. Your Back Pain Map can be printed after selecting symptoms from at least one area of the body.

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