Low back pain (LBP):
Refers to pain in the area between the lower rib cage and the gluteal folds, often with radiation into the thighs
Pain in the distribution of the lower lu...
Poorly localized and dull back/gluteal pain without radiation past the knee.
Usually no objective neurologic signs.
Back spasm is a variable and poorly rep...
Immobilization is not generally recommended for nontraumatic pain.
Rapid transport for vascular concerns
Severe pain with inability to ambulate
Pain unresponsive to ED management
Progressive neurologic deficits
Signs of cauda equina syndrome
Infectious, vascular, or neo...
Consider MRI for history of IVDA to rule out epidural abscess or if concerns of nonbony spinal metastases.
Elderly with minimal trauma may sustain fractures.
Consider vascular etiolo...
Cantrill SV, Brown MD, Carlisle RJ, et al. American College of Emergency Physicians Opioid Guideline Writing Panel. Clinical policy: Critical issues in the prescribing of opioids...
724.5 Backache, unspecified
M54.5 Low back pain
M54.9 Dorsalgia, unspecified
M54.30 Sciatica, unspecified side
M54.40 Lumbago with sciatica, unspecified side
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