The patient has back pain
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ACTION ITEMS*
1. Obatin a history to fully characterize the nature back pain (onset, sti lml'f;,'fa;k;'ask.
2. Obtain a relevant ROS focusing on systemic diseases, cancer, infection, neurologic symptoms and character of the back pain.
2. Perform a focused physical examination
- sign of local tenderness
- range of motion
- sign of radiculopathy
- spurling sign
- straight leg raise
Is sciatica present?
- While this algorithm provides steps to perform a focused history and physical examination, it is no replacement for a detailed history and physical examination.