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Red Flags for Low Back Pain Vol. 1 No. 1 (2013) Reno Renown Carson City Elko Incline Winnemucca Tel: 775.323.2080 Fax: 775.323.8216 www.sierraneurosurgery.com Low Back pain is a very common diagnosis. It is the second most common reason to seek medical attention, and accounts for 15% of all sick leave from work. In many instances, back pain will resolve without treatment. However, there are 'Red Flags' that should raise suspicion and concern. If you would like us to see a patient, or even if you have questions about how to proceed with a workup, don't hesitate to call Sierra Neurosurgery Group at (775)323-2080. *Christopher Demers, M.D. is a neurosurgeon with Sierra Neurosurgery Group Cancer Age greater than 50 History of previous cancer Unexplained weight loss Night-time pain History of IV Drug Use Diabetes Systemic Unwellness Fever/chills Known immune suppression Urinary Retention Fecal Incontinence Pain not improved with rest Fracture History of trauma Prolonged us of steroids Age >70 Motor weakness oracic pain (very uncommon) Failure to improve after ~6 weeks Cauda Equina Syndrome Acute onset of urinary retention or overflow incontinence Fecal Incontinence / loss of sphincter tone Saddle anesthesia Global or progressive lower extremity weakness Christopher Demers, MD*

Red Fellea Reno Elko - Sierra Neurosurgery Group · Red Fellea Red Flags for Low Back Pain Vol. 1 No. 1 (2013) Reno ♦ Renown ♦ Carson City ♦ Elko Incline ♦ Winnemucca Tel:

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Newsletter

Red Flags for Low Back Pain

Vol. 1 No. 1 (2013)

Reno Renown Carson City Elko Incline WinnemuccaTel: 775.323.2080Fax: 775.323.8216

www.sierraneurosurgery.com

Low Back pain is a very common diagnosis. It is the second most common reason to seek medical attention, and accounts for 15% of all sick leave from work. In many instances, back pain will resolve without treatment. However, there are 'Red Flags' that should raise suspicion and concern.

If you would like us to see a patient, or even if you have questions about how to proceed with a workup, don't hesitate to call Sierra Neurosurgery Group at (775)323-2080.

*Christopher Demers, M.D. is a neurosurgeon with Sierra Neurosurgery Group

Cancer Age greater than 50 History of previous cancer Unexplained weight loss Night-time pain History of IV Drug Use Diabetes Systemic Unwellness Fever/chills Known immune suppression Urinary Retention Fecal Incontinence Pain not improved with rest Fracture History of trauma Prolonged us of steroids Age >70 Motor weakness Thoracic pain (very uncommon) Failure to improve after ~6 weeks

Cauda Equina Syndrome Acute onset of urinary retention or overflow

incontinence Fecal Incontinence / loss of sphincter tone Saddle anesthesia Global or progressive lower extremity

weakness

Christopher Demers, MD*

Joseph R. Walker, MD, FAANSJohn S. Davis, MDDante F. Vacca, MD, FAANSHilari L. Fleming, MD, PhD, FAANSJay K. Morgan, MD, FAANSDeven Khosla, MD, FAANSDavid C. Leppla, MDChristopher P. Demers, MDLali Sekhon, MD, PhD, FACS, FAANSMichael S. B. Edwards, MD, FAANSWilliam Dawson, M.D. - Partner EmeritusJacob L. Blake, MD (Pain Management)

30 Plus Years Expertise in Brain and Spine Care

CONTACT DETAILS 5590 Kietzke Lane Reno NV 89511 75 Pringle Way, Suite 1007 Reno NV 89502 844 West Nye Lane, Suite 102 Carson City, NV 89706 Elko Incline Winnemucca

Tel: 775.323.2080 Fax: 775.323.8216 www.sierraneurosurgery.com

Sierra Neurosurgery Group

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