Back Pain/Neck Pain
SX â Back pain, fever, sharp burning pain, radiation.
PE â IPR SRS:
Inspection, palpation, ROM, strength, reflexes, sensation.
Point tenderness, straight leg < 60 pain = nerve root irritation.
Next Steps
DX â X-Rays (trauma, fracture, disc herniation). MRI (for infectious and malignant pathologies). ⢠CBC, CMP (Ca, Alk Phos), U/A, HLA B27, ESR,
CRP.
Health Tips
TX â NSAIDs (ibuprofen, acetaminophen, naproxen). Opiod (Tramadol), narcotic (Hydrocodone), muscle relaxant (Carisoprodol, Cyclobenzaprine). Referral, physical therapy.