Patient med rygsmerter

Background Every year, 50% of the adult population experiences pain in the neck, low back pain, thoracic pain. Low Back pain is a very frequent phenomenon, which in most cases is of non-specific origin and which in most cases has a good prognosis. However, in 10-20% of patients, the pain persists for months or years despite relevant treatment trials. Both acute (duration <3 months) and chronic (duration> 3 months) conditions are investigated through a diagnostic triage: • First, it is clarified whether red flags are present that require prompt action. • Thereafter, we assess whether the pain is due to possible specific diagnoses. • If the patient is in the residual group, a broader assessment is made to identify any treatment options and prognosis. Essential clinical characteristics RED FLAGS Any initial assessment of the patient with back pain is initiated by clinically identifying the few serious diagnoses that require urgent or urgent action: Sphincter symptoms or abnormal sensitivity / reflex conditions of the perineum cause cauda equina syndrome. Progressive palsy of upper or lower extremities or paralysis is often indicative of threatening nerve root incarceration. L’Hermitte’s signs, bilateral UE symptoms, hyper-reflex or Babinski’s toe phenomenon. Think incipient medullary cross-sectional syndrome. Common symptoms with eg weight loss, fatigue and fever, previous cancer disease, +50 years. Think of other red flags like infection, system disease or cancer.