History - Back and Neck

Back and Neck

·        Spondylosis = degenerative

·        Spondylitis = inflammatory

History

·        Onset

·        Where is it situated

·        Sudden or gradual

·        Radiation

·        Aggravated by movement, coughing or straining

·        Effect of rest

·        If musculoskeletal then usually well localised and aggravated by movement 

·        If progressive and unremitting consider osteoporosis (with crush fractures), osteomalacia, or neoplasia (secondaries, leukaemia or myeloma)

·        General health, weight loss, fever, sphincter disturbance