Present back problems to the spine specialist
or spine surgeon
Description of back pain and back problems
You will probably be asked by the spine specialist
or spine surgeon to describe your symptoms in as much
detail as possible, with questions such as:
-
How long have you had your present spine or back
problem?
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What is your main spine problem? Neck, arm(s),
mid back, lower back, buttock and/or leg(s)?
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How and when did your back problem start?
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What always makes your back problem worse? What
always makes it better (even if only a little)?
-
Description of the back pain, neck pain, or other
types of pain. E.g., Is the pain sharp, dull, hot,
electrical, burning, crushing, numbing, tingling,
throbbing, mixed? Other?
-
When the back pain is at its worst, what can you
still do, what is it that you cannot do? What are
the effects on your job? Recreation? Hobbies? Sex
life? Social life?
-
For back pain, weakness, numbness or tingling,
indicate what changes them, for good or bad?
-
How intense is your back pain "right now",
on average/typical, at best, and at worst on a
0-10 scale (10=intense)
-
What are the percentages of distribution of these
sensations between upper and lower limbs, parts of
limbs, neck and arm/hand, low back/buttock and lower
legs/feet, right and left sides, day and night, and
other comparisons? (Such comparisons are often difficult
to evaluate by the patient but important for the
doctor to know.) You will be probably be provided
with front and back sketches of the human body and
requested to indicate where the pain, burning, crushing,
weakness, numbness, tingling, and other sensations
are located.
-
When is the back pain best? Worst? (Includes the
time of day, week, month, seasons, etc.)
Diagnostic tests performed by the spine specialist
Your physician will most likely ask for background
on which diagnostic tests you have already had. If
possible, it's a good idea to bring the results of
any major tests you've had to your appointment (e.g.
recent MRI scan of your spine). Tests that will probably
be asked about include:
-
Spine diagnostic tests: x-ray, CT scans, MRI scans,
tomography, myelogram, ultrasound scan, radioactive
bone scan, discogram, other? Which part of the spine
was included, and when and where were the tests performed?
What were the findings (diagnosis) from these studies?
-
Have you had similar studies elsewhere of your
body parts, such as heart, lungs, stomach, intestines,
kidneys, other organs or joints? Again, where and
when were these performed and what were the findings
(diagnosis) from these studies?
Previous treatments for back pain and back problems
Your spine specialist will probably ask for details
about which types of treatments you have already tried
for your spinal condition. For example:
-
What types of medications have your tried? What
medications help the back problem? Which ones don't
help?
-
What type of conservative care have you tried for
your back problem (osteopathic or chiropractic manipulation,
physical therapy, etc)? When, where and by whom?
Which physical therapy program? Results?
-
Have you had any injections for your spine problem,
such as, nerve root, epidural, facet joints, other?
By whom, when and diagnosis obtained? Results? Repeat
injections?
- Have you had any type of spine surgery? Have you undergone
any type of chronic pain rehabilitation? What were the
results?
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