Table 333 Red flag pointers to serious low back pain conditions

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Age > 50 years

History of cancer

Temperature > 37.8°C

Constant pain—day and night

Weight loss

Significant trauma

Features of spondyloarthropathy

Neurological deficit

Drug or alcohol abuse

Use of anticoagulants

Use of corticosteroids

No improvement over 1 month

Possible cauda-equina syndrome

• saddle anaesthesia

• recent onset bladder dysfunction

• severe or progressive neurological deficit

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