The main function of the general practitioner in the management of back pain is diagnostic - providing the triage distinguishing psychosocial problems presenting as back pain from the three main types of organic back pain:
The history provides most of the information distinguishing the most likely entity, but an initial examination may provide additional information.
The main features of the examination include:
Remember to enquire at some stage whether the patient has noticed any change or problem with their bowel and bladder function.
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