Acute lower back pain

Question 1

What are some risk factors for simple back pain?

Answer 1

Previous back pain
Heavy lifting/ frequent bending
Repetetive work with exposure to vibration

Question 2

What are some general red flags of back pain?

Answer 2

• Failure to improve after 4-6 weeks of conservative therapy
• Unrelenting night pain or pain at rest
• Progressive motor or sensory deficit

Question 3

What are some cancer red flags for back pain?

Answer 3

• Age > 50 years
• Unintended weight loss
• History of cancer
• Pain at night and in recumberncy

Question 4

What are some infection red flags for back pain

Answer 4

• Fever/chills
• Recent infection
• Immunosuppression
• IV drug use
• Dental status
• Foreign travel

Question 5

What are some non-pharmacological management options for simple back pain?

Answer 5

Explanation and reassurance
Advice on activity and exercise

Question 6

What is the WHO pain ladder

Answer 6

Simple analgesics
Mild opiates
Strong opiates
Injections