Often related to life style , posture , lack of exercise , Vit deficiency , increasing weight and stress. Do not have associated nerve compression
RED FLAG signs absent usually
Investigations often not needed unless pain persists >3 weeks
Pain is typically localised , fatigue related , better with rest , and exercises help a lot , need life style modification. Pain management with simple measures – exercise , medicines and heat therapy , supervised physiotherapy help. Meet spine specialist for supervised care.
Usually improve without any active / aggressive intervention
Contact specialist if pain persists or progresses.
Symptoms often more with activity / affect mobility / increase with walking
Symptoms often present at rest / night pain
Radiation to leg with nerve paresthesiae present if nerve compression is present.
Pain , Numbness , Heaviness weakness in leg – buttock and back of thigh and calf
RED flag signs noted.
Fever , Rest pain , Night pain , persistent pain , weakness leg , bowel bladder symptoms
May need investigations to detail to rule out exact cause , unsupervised pain management – self medication / self guided physiotherapy – not recommended and may not help.
