Back and Neck
·
Spondylosis = degenerative
·
Spondylitis = inflammatory
·
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
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