All about Low Back Pain materi by dr. Fadil

Sakit pinggang

1. LOW BACK PAIN Fadil Divisi Neurofisiologi dan Saraf Tepi Departemen Neurologi FK UNAIR/RSUD Dr Soetomo

2. Diagnoses & Red Flags Cancer Age > 50 History of Cancer Weight loss Unrelenting night pain Failure to improve Infection Steroid use Fever Unrelenting night pain Failure to improve Fracture Age >50 Trauma Steroid use Osteoporosis Cauda Equina Syndrome Saddle anesthesia Bowel/bladder dysfunction Loss of sphincter control Major motor weakness

3. Diagnostic Studies Radiographs Early if RED FLAGS Symptoms present > 6 weeks despite tx MRI indications Possible cancer, infection, cauda equina synd >6-12 weeks of pain Pre-surgery or invasive therapy EMG/NCV r/o peripheral neuropathy localize nerve injury correlate with radiographic changes Pre-surgical or invasive therapy