ArticlesEpidemiology of spine tumors presenting to musculoskeletal physiatrists☆
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Broadening the Differential for Unilateral Knee Pain: A Diagnostic Case Study
2021, Journal for Nurse PractitionersCitation Excerpt :The ACR Appropriateness Criteria outline evidence-based recommendations of initial diagnostic imaging with knee radiography for an adult or a child 5 years of age or older with chronic knee pain, which is defined as joint pain for greater than 6 weeks’ duration.1,12,13 In this case, plain radiographs were obtained to rule out a bone tumor given the presenting red flag symptoms of chronicity and nighttime awakenings.4 Plain radiographs of the knee showed a mixed lytic and sclerotic lesion, with a soft tissue mass posteriorly.
Low Back Strain or Sprain
2018, Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and RehabilitationAssessment of Spondyloarthritis International Society Classification Criteria
2016, Pathology and Intervention in Musculoskeletal RehabilitationPredicting the evolution of low back pain patients in routine clinical practice: Results from a registry within the Spanish National Health Service
2012, Spine JournalCitation Excerpt :Pain not caused by systemic diseases was defined as pain in patients who had not been diagnosed with cancer, fibromyalgia, or inflammatory diseases (eg, rheumatoid arthritis or Bechterew's disease) and who did not show signs, which may suggest fibromyalgia (defined as diffuse pain with unexplained fatigue or sleep disturbances) or “red flags” for potential underlying systemic diseases, unless the appropriate diagnostic tests had ruled out this possibility. “Red flags” were defined as oncologic disease during the previous 5 years; constitutional symptoms such as unexplained weight loss, fever, chills; history of intravenous drug use; or immunocompromised host [7–10]. “Criteria for immediate referral to surgery” were defined as signs suggesting cauda equina syndrome (relevant or progressive paresia, loss of sphincter control, or saddle anesthesia), potential nerve root compression by disc herniation qualifying for surgery (disabling sciatic pain lasting 6 weeks or more, caused by nerve root compression from a disc protrusion or hernia, confirmed by magnetic resonance imaging [MRI]), or symptomatic spinal stenosis for more than 3 months (defined as claudication unrelated to peripheral vascular disease with evidence of stenosis on MRI or computed tomography [CT] scans) [10–13].
The prognostic value of catastrophizing for predicting the clinical evolution of low back pain patients: A study in routine clinical practice within the Spanish National Health Service
2012, Spine JournalCitation Excerpt :Pain not caused by systemic diseases was defined as pain in patients who had not been diagnosed with cancer, fibromyalgia, or inflammatory diseases, such as rheumatoid arthritis or Bechterew disease (ankylosing spondylitis), and who did not show signs suggesting fibromyalgia or “red flags” for potential underlying systemic diseases. “Signs suggesting fibromyalgia” were defined as diffuse pain with unexplained fatigue or sleep disturbances, and “red flags” for potential underlying systemic diseases were defined as oncologic disease during the previous 5 years, constitutional symptoms (unexplained weight loss, fever, and chills), history of intravenous drug use, or immunocompromised host [1,33–35]. Criteria for referral to surgery were defined as signs suggesting cauda equina syndrome or nerve root compression resulting from disc herniation or spinal stenosis potentially qualifying for surgery.
Clinical reasoning for a patient with neck and upper extremity symptoms: A case requiring referral
2012, Journal of Bodywork and Movement TherapiesCitation Excerpt :Indeed, studies have shown that unexplained weight loss is not always a consistent finding. In particular, it has been found only in 15–24% of cases of tumors involving the spine (Deyo and Diehl, 1988; Slipman et al., 2003), whereas other features, such as night pain, have been reported in nearly half of the patients with spine tumors (Slipman et al., 2003). Perhaps though, the most striking and noteworthy feature of this case problem was the patient's shoulder presentation.
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