Category Archives: Musculoskeletal

Back pain – NICE guidelines

This is the BMJ Learning module I started when I was trying to look up red flags for back pain; as promised, I’ve now gone back to finish the module. Guidelines recommend using the STarTBack questionnaire for identifying risk of … Continue reading

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Red flags in low back pain

I noticed I have someone booked into an upcoming session to see me about back pain, so I decided it was time I checked the list of red flags for back pain to be sure I don’t miss anything. This … Continue reading

Posted in Back pain, Credits 2019, Don't miss, Musculoskeletal | 1 Comment

Axial spondyloarthritis

The spondyloarthritides are a group of inflammatory conditions which can affect axial or peripheral joints. Axial spondyloarthritis Radiographic axial spondyloarthritis* Non-radiographic axial spondyloarthritis** *This is the entity that used to be known as ankylosing spondyloarthritis. However, the criteria for diagnosing … Continue reading

Posted in Back pain, Musculoskeletal, Rheumatology | 1 Comment

MRI for nerve root compression/sciatica?

Latest guidelines from our local hospital have some useful pointers for when to refer for MRI and when not to: Radicular thoracic pain should be referred for MRI. Sciatica, however, probably not – if <6/52 then wait and see, and … Continue reading

Posted in Credits 2017, Musculoskeletal, Radiology | Leave a comment

Back pain

Red flags for cauda equina compression syndrome Saddle or genital anaesthesia or altered sensation (and, after almost getting horribly caught out once, I will at least now remember forever after that THIS MAY PRESENT UNILATERALLY) Altered bladder, bowel, or sexual … Continue reading

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Walking programme for back pain

Prescriber cites an interesting study on the use of a walking programme for back pain: Pain 2015; 156(1): 131 – 47. In this RCT, the use of a walking programme, usual tailored physical therapy, and a weekly group exercise class, … Continue reading

Posted in Back pain, Credits 2015, Orthopaedics | Leave a comment