General pitfalls

• Being unaware of the characteristic symptoms of inflammation and thus misdiagnosing one of the spondyloarthropathies

• Overlooking the early development of malignant disease or osteomyelitis; if suspected, and an X-ray is normal, a radionuclide scan should detect the problem

• Failing to realise that mechanical dysfunction and osteoarthritis can develop simultaneously, producing a combined pattern

• Overlooking anticoagulants as a cause of a severe bleed around the nerve roots and corticosteroids leading to osteoporosis

• Not recognising back pain as a presenting feature of the drug addict.

Body Language

Body Language

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