If you, or a friend has back pain related to any of the following, seek immediate help from
a medical specialist:-
Younger than 20 or older than 55 and getting back pain for the first time.
Back pain after a violent injury, e.g. road traffic accident.
Back pain is constant and getting worse.
Back pain is in the upper part of the spine.
Back pain and cancer in the past or at present.
Back pain and taking (Cortico)steroids.
Back pain and drug abuser, or HIV infected.
Back pain and generally unwell or feverish.
Back pain with significant weight loss.
Back pain and continuing to have great difficulty bending forwards.
Nerve related problems other than pain: loss of sensation (especially of the
area that would sit on a saddle - so called saddle anaesthesia), loss of power,
urinary or bowel incontinence.
Back pain with obvious structural deformity of the spine.
Debilitating back pain that is not reducing after 4 -6 weeks.
The Back Maintenance
Manual for Lower Back Pain (Lumbago)
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