Back pain history and symptoms

Jump to navigation Jump to search

Back pain Microchapters


Patient Information


Historical Perspective




Differentiating Back Pain from other Diseases

Epidemiology and Demographics

Risk Factors


Natural History, Complications and Prognosis


Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings


X Ray

Echocardiography and Ultrasound



Other Imaging Findings

Other Diagnostic Studies


Medical Therapy


Non-Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies


Back Pain

Case Studies

Case #1

Back pain history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides


American Roentgen Ray Society Images of Back pain history and symptoms

All Images
Echo & Ultrasound
CT Images

Ongoing Trials at Clinical

US National Guidelines Clearinghouse

NICE Guidance

FDA on Back pain history and symptoms

CDC on Back pain history and symptoms

Back pain history and symptoms in the news

Blogs on Back pain history and symptoms

Directions to Hospitals Treating Back pain

Risk calculators and risk factors for Back pain history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]


Important history question for patients presenting with back pain should focus on, pain onset, duration, radiation, aggravating or relieving factors, intensity, preceding event (surgery, intense exercise, trauma), and associated symptoms including, bowel incontinence, bladder incontinence, progressive weakness in legs, sleep interrupted due to severe back pain, fever, unexplained weight loss.


  • Important history question for patients presenting with back pain should include:[1][2]
    • Onset of pain (sudden or gradual)
    • Duration
    • Preceding event
    • Intensity
    • Location
    • Characteristic (dull ache, burning, tearing, sharp)
    • Pain present at rest, during sleep
    • Changes intensity with activity or while sleeping
    • Does the pain radiate elsewhere
    • Associated symptoms
    • Aggravating or relieving factors
  • In general, back pain does not usually require immediate medical intervention.
  • Mostly cases due to inflammation, especially in the acute phase, which typically lasts for two weeks to three months and resolves on its own without progressing.



  1. Chenot JF (2018). "[Low back pain: focused history taking and physical examination]". Dtsch Med Wochenschr. 143 (21): 1556–1563. doi:10.1055/a-0634-8084. PMID 30336508.
  2. Maas ET, Juch JN, Ostelo RW, Groeneweg JG, Kallewaard JW, Koes BW; et al. (2017). "Systematic review of patient history and physical examination to diagnose chronic low back pain originating from the facet joints". Eur J Pain. 21 (3): 403–414. doi:10.1002/ejp.963. PMID 27723170.
  3. Allegri M, Montella S, Salici F, Valente A, Marchesini M, Compagnone C; et al. (2016). "Mechanisms of low back pain: a guide for diagnosis and therapy". F1000Res. 5. doi:10.12688/f1000research.8105.2. PMC 4926733. PMID 27408698.
  4. Welk B, Baverstock R (2020). "Is there a link between back pain and urinary symptoms?". Neurourol Urodyn. 39 (2): 523–532. doi:10.1002/nau.24269. PMID 31899561.
  5. Lumley MA, Schubiner H, Carty JN, Ziadni MS (2015). "Beyond traumatic events and chronic low back pain: assessment and treatment implications of avoided emotional experiences". Pain. 156 (4): 565–566. doi:10.1097/j.pain.0000000000000098. PMC 4369787. PMID 25790449.
  6. Polatin PB, Kinney RK, Gatchel RJ, Lillo E, Mayer TG (1993). "Psychiatric illness and chronic low-back pain. The mind and the spine--which goes first?". Spine (Phila Pa 1976). 18 (1): 66–71. doi:10.1097/00007632-199301000-00011. PMID 8434327.
  7. Mabry LM, Ross MD, Tonarelli JM (2014). "Metastatic cancer mimicking mechanical low back pain: a case report". J Man Manip Ther. 22 (3): 162–9. doi:10.1179/2042618613Y.0000000056. PMC 4101555. PMID 25125938.

Template:WikiDoc Sources