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Diapers History of a recent infection Patient prognosis- matching treatment to patients prognosis such as the likelihood of persistent pain and disability (e.g. STarT Back Screening Tool(LoE 1A)(LoE 1B)).
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The medical history should focus on both triggering and alleviating factors, as well as on the character of the pain. Signs and symptoms such as increased pain with Valsalva maneuvers, straight-leg-raising symptoms, the tendency for the pain to radiate into the buttock or leg, the presence of weakness or sensory deficit, and bowel or bladder urgency or incontinence are associated with neurologic causes of low back pain.
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Nerve root syndromes are those that produce symptoms of nerve impingement (a nerve is directly irritated), often due to a herniation (or bulging) of the disc between the lower back bones. Sciatica is an example of nerve root impingement. Impingement pain tends to be sharp, affecting a specific area, and associated with numbness in the area of the leg that the affected nerve supplies.
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This list includes the more common causes of back pain, but there are many more. Finding the optimal treatment for low back pain usually depends on obtaining a correct clinical diagnosis that identifies the underlying cause of the patient’s symptoms.
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