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Orthopaedic

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Regional Pain Syndromes

Question
23 out of 28
 

All are yellow Flag signs of Low Back Pain except



A Reduced activity levels

B Withdrawal from social interaction

C Prolonged use of corticosteroids

D Potentially severe disabling pain

Ans. C

Prolonged use of corticosteroids

“Red flag” and “yellow flag” signs

Red flags are possible indicators of serious spinal pathology. The presence of red flags in acute low back pain suggests the need for further investigation and possible specialist referral as part of the overall strategy.

a. Thoracic pain

b. Fever and unexplained weight loss

c. Bladder or bowel dysfunction

d. History of carcinoma

e. health or presence of other medical illness

f. Progressive neurological deficit

g. Disturbed gait, saddle anaesthesia

h. Age of onset <20 years or >55 years

Yellow flags are pyschosocial factors shown to be indicative of long term chronicity and disability. The presence of yellow flags may highlight the need to address specific psychosocial factors as part of a multimodal management approach.

i. A negative attitude that back pain is harmful or potentially severely disabling

j. Fear avoidance behaviour and reduced activity levels

k. An expectation that passive, rather than active, treatment will be beneficial

l. A tendency to depression, low morale, and social withdrawal

Regional Pain Syndromes Flashcard List

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