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Redflag Markers

Redflag Markers

Consider prompt investigation or specialist referral for anyone with a red flag for possible spinal pathology.

  • Presentation under 20 years
  • First presentation over 55 years
  • Violent trauma (e.g. road traffic accident)
  • Non-mechanical pain
  • Thoracic pain
  • Past history of carcinoma
  • Corticosteroid use
  • HIV infection
  • Systemically unwell, weight loss
  • Widespread neurological symptoms or signs
  • Structural deformity

Immediate admission is needed for cauda equina syndrome:

  • Sphincter disturbances
  • Saddle anaesthesia
  • Widespread or progressive motor weakness in the legs
  • Gait disturbance

Recent evidence suggests that an early diagnosis of a developing cauda equina syndrome and early surgery can prevent a full blown cauda equina syndrome from developing. Early features are any disturbance in bladder function associated with any altered sensation in one or both buttocks.

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Please contact my secretaries on 07813 568 585/01642 782 245 or email secretary@spinalsurgeon.com to book an appointment.

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