Spine

  • Demographics
    • Age
    • Occupation
  • pain
    • location
      • point to where the pain is
        • leg versus back
    • radiation
      • exact location
        • L4
        • L5
        • S1
    • Type
      • Burning, sharp, dull
  • how long
  • how did it start
    • injury or insidious
  • progression
    • better, worse, same
  • when
    • Mechanical
    • Rest, night pain
    • Constant
  • Aggrevating,relieving
    • Hills
      • Neuropathic
        • ­ extension & walking downhill
        • ¯ walking uphill & sitting
      • vascular
        • ­ walking uphill
          • generates more work
        • ¯ rest
          • standing is better than sitting due to pressure gradient
    • stairs
    • shopping trolleys
    • ­ coughing, straining
    • sitting
    • forward flexion
  • Associated
    • Paresthesia
    • Numbness
    • Weakness
      • L4
      • L5
      • S1
    • Bowel, Bladder
    • Stiffness
    • Deformity
    • Cervical myelopathy
      • Clumbsiness of hand
      • Unsteadiness
      • Manual dexterity
  • Red Flags
    • Loss of weight
    • Constitutional symptoms
    • Fevers, sweats
    • Night pain, rest pain
    • History of trauma
    • immunosuppresion
  • Functional
    • Home
      • Walking distance
      • Shoes, socks
      • Stairs
      • Hills
    • Work
      • Manual vs office
      • Lifting, vibration, sitting
    • Sport
  • Treatment
    • Nonoperative
      • Medications
        • Analgesia
        • How much
        • How long
      • Physio
      • Orthotics
        • Walking sticks
        • Braces
    • Operative
  • Past Medical History with emphasis on Risk Factors
    • Family history
    • Risk factors
      • Smoker
    • Shx
      • occupational
    • Prognostic factors
    • Management issues