Have you ever felt a sharp sudden low back pain? I did have, and it is scary. It hurts a lot,
may last many days or weeks, and you wonder, this must be a sign of something really serious.
Scientists know now that the majority of cases of acute low-back pain are not an indication
of something serious. But is there a a way to be assured that everything will go back to normal?
Today, I’ll explain to you what the signs that we,
doctors look for when we suspect a low back pain can be a serious problem.
Let’s talk about The Red Flags in Low Back Pain Acute low back pain is a common issue that affects
millions of people around the world. Acute low back pain is something many of us have experienced
or will experience at some point in our lives. It's incredibly common and can strike suddenly,
causing discomfort and disruption. But it's not just about the discomfort.
Acute low back pain can disrupt our daily lives, make work difficult, and impact our
overall well-being. We'll explore why it's a concern and why we need to take it seriously.
Let me show you how doctors spot red flags that could indicate a serious underlying condition.
Thanks God these conditions are rare. First, let's define what we mean by
"red flags." Red flags are symptoms or signs that suggest a more serious issue is at play,
and they require immediate medical attention. So, what are some common red flags to
watch out for? Here are a few: I remember these red flags for
acute low back pain using the acronym "NIFTI": 1. Neurological Symptoms: This includes weakness,
numbness, or tingling in the legs, which could indicate nerve compression or damage. There
is a rare condition that causes acute low back pain and it is a serious neurological condition,
it is called cauda equina syndrome. It is when the nerves at the lower part of the spine are
compressed. It is an emergency because these nerves control the bladder and bowel function.
2. Infection: Fever or unexplained weight loss may be signs of an underlying infection affecting the
spine. The germs can be bacteria, parasites, fungi or viruses. The person may acquire them
from a spinal procedure or intervention. They may also acquire by other surrounding organs,
or by injecting contaminated substances in their blood or their body.
3. Fractures: Severe pain that starts after a fall, a trauma, a car accident,
or if the person has underlying conditions that predispose them to fracturs, such as osteoporosis.
4. Tumor: Red flags may include unexplained weight loss, persistent pain especially at night,
especially in a person with a previous history of cancer. The tumour can be primary of the spine,
or could be a metastasis. The most common tumours that send metastasis to the spine are:
breast, prostate, lungs, kidney and colon cancer.
5. Inflammation: Acute low back pain may be accompanied by signs of inflammation,
a condition called spondylitis is an inflammatory rheumatological disease, an example is ankylosing
spondylitis. Watch my other video about AS here. Additionally, individuals with
inflammatory arthritis may experience morning stiffness, which can be a telltale sign of an
inflammatory condition affecting both the spine and peripheral joints. Identifying
these symptoms is crucial in recognizing potential underlying inflammatory disorders.
If you want to download my handout with these NIFTI signs and symptoms. Go to my website:
www.DoctorAndreaFurlan.com /lumbar
Remember, if you experience any of these red flags, it's essential to seek immediate
medical attention to rule out serious underlying causes of acute low back pain.
Please remember that this video is not intended to give medical advice. If you
have a condition that is causing pain, talk to your doctor for a diagnosis and
individual care plan for you. This video is for educational purposes only. If there is
a medical emergency please call an ambulance or go to the nearest emergency department.
In conclusion, acute low back pain is a common problem that can significantly impact
our lives. Recognizing the red flags is key to ensuring timely and appropriate medical care.
If you or someone you know is experiencing acute low back pain with any of these red flags,
don't hesitate to reach out to a healthcare professional. Remember,
your health is essential, and early intervention can make a significant difference.
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