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afya
DDbackPain
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> //''Red flags''// Age <20 or >50 Hx of malignancy night pain Hx of trauma systemically unwell - fever, wt loss ''Facet joint'' acute or chronic worse in morning and when standing ?pain over facets esp on extension (leaning backwards) ''Spinal stenosis'' gradual onset uni or bilat leg pain (+/- back pain) numbness and weakness worse on walking, resolves when sitting, leaning forwards or crouching down described as aching or crawling clinical exam often normal - needs MRI to confirm ''Ankylosing Spondylitis'' young man with pain and stiffness usually worse in morning and resolves with activity peripheral arteritis (25%, more common if F) ''Peripheral arterial disease'' pain on walking relieved by rest absent or weak foot pulses or other signs of limb ischaemia Hx - smoking and vascular disease
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LowerBackPain