Acute Low Back Problems in Adults: Assessment and Treatment
Purpose and Scope
Addressing Red Flags
Observation and Regional Back Examination
Testing for Muscle Strength.
Clinical tests for sciatic tension
Inconsistent Findings and Pain Behavior
Avoiding undue back irritation.
Special Studies and Diagnostic Considerations
Timing and Limits of Special Studies
Selection of Special Studies
Management Considerations After Special Studies
Direct and indirect nerve root decompression for herniated discs.
Management of spinal stenosis.
Further Management Consideration
Availability of Guidelines
Table 1. Red flags for potentially serious conditions
Table 2. Symptom control methods
Table 3. Guidelines for sitting and unassisted lifting
Table 4. Ability of different techniques to identify and define pathology
Table 5. Summary of Guideline Recommendations
Figure 1. Testing for lumbar nerve root compromise.
Figure 2. Instructions for the Straight Leg Raising (SLR) Test
Figure 3. Instructions for sitting knee extension test.
Algorithm 1. Initial evaluation of acute lew back problem.
Algorithm 2. Treatment of acute low back problem on initial and followup visits.
Algorithm 3. Evaluation of the slow-to-recover patient (symptoms > 4 weeks)
Algorithm 4. Surgical considerations for patients with persistent sciatica.
Algorithm 5. Further management of acute low back problem.