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Algorithm < 4 weeks - Initial Evaluation - Red Flag Summary

Condition Red Flags
Cauda Equina Saddle anesthesia. Recent onset of bladder dysfunction, such as urinary retention, increased frequency, or overflow incontinence.
Cancer Age >/= 50. Previous history of cancer. Unexplained weight loss. Failure to improve with one month therapy. No relief with bed rest.
Infection IV drug abuse. Urinary tract or skin infection.
Fracture Age >/= 50. Trauma. Corticosteroid use.
Ankylosing Spondylitis Age < 40. Pain not relieved supine. Morning back stiffness. Pain duration >/= 3 months.
Spinal Stenosis Pseudoclaudication. Age >/= 50 years.
Neurologic Compromise Location of pain, alteration of sensation, muscle strength, or reflexes.

Red Flag Algorithm

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