|
|
Musculoskeletal pain
|
Spinal stenosis
|
Sciatica
|
Cauda equina syndrome
|
Rheumatologic
|
| Radiation? |
No |
Possible (can be bilateral) |
Yes (in the distribution of a lumbar or sacral nerve root) |
Possible |
?
|
| Worsened by: |
Movement (e.g. twisting of torso) |
Walking (pseudo-claudication) and prolonged standing |
Coughing, Valsalva, sitting |
|
Morning stiffness >30minutes
|
| Improved by: |
Rest |
Forward flexion, especially sitting |
Lying in supine position |
|
Movement throughout the day
|
| Other symptoms: |
|
|
|
Urinary/bowel disturbances, perineal anaesthesia |
Other rheum symptoms (e.g. ankylosing spondylitis, psoriatic arthropathy, IBD arthropathy, Reiter's disease)
|
