Red Flag Symptoms
here or select the image above to download a PDF version of red flag symptoms.
The vast majority of back problems improve on their own or with nonsurgical treatment. There are a few warning signs, however, that may indicate serious spinal problems. If you experience any of these symptoms, seek medical attention immediately.
Loss of control of the bowel or bladder and retention of urine may indicate damage to the spine's cauda equina. The cauda equina is a bundle of nerves in the low back where the spinal cord ends. Damage to these nerves can be permanent if not treated immediately (within a day or so). See a spine specialist, or go to an emergency room if necessary.
Weakness or numbness in a leg or arm, especially if it is severe—and it is getting worse—also points to nerve damage. Numbness, pain or tingling that radiates into the arm or leg is also known as radicular pain. "Foot drop" is a condition where the muscles of the leg and foot are too weak to raise the foot up as the individual attempts to walk. Again, nerve damage associated with these symptoms can be permanent if not treated immediately. This problem should be seen within 24 hours by a spine specialist.
If pain limited to the low back or neck area does not begin to subside after three days with anti-inflammatories and rest, then you probably need to be evaluated by a spine specialist. For example, if you first noticed back or neck pain on Monday, and it's now Thursday, and it's not getting better, it's time to see a spine specialist to find out what is causing your problem.
High fever accompanied by back pain may indicate a possible infection of the spine and should be treated within 24 hours.
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