About three months after the initial consultation, the patient experienced an episode of lower back pain radiating to the left foot brought on by laughter. [healio.com]

References: Acute low back pain. EBSCO DynaMed website. Available at: . Updated November 22, 2013. Accessed November 26, 2013. Bratton RL. Assessment and management of acute low back pain. Am Fam Physician. 1999;60:2299-2309. Chronic low back pain. [cancercarewny.com]

Therefore, the doctor’s challenge is to determine how to evaluate back pain with the goal of specifically excluding a tumor as the cause of the pain. Luckily, most back pain is not due to a tumor. [pbbsneuro.com]

When to see a doctor There are many causes of back pain, and most back pain isn't caused by a tumor. [mayoclinic.org]

View/Print Figure Low Back Pain FIGURE 1. Suggested approach to the initial assessment of the patient with acute low back pain. (CT computed tomographic; MRI magnetic resonance imaging) Adapted from Bigos SJ, et al. [aafp.org]

References: Acute low back pain. EBSCO DynaMed website. Available at: . Updated November 22, 2013. Accessed November 26, 2013. Bratton RL. Assessment and management of acute low back pain. Am Fam Physician. 1999;60:2299-2309. Chronic low back pain. [cancercarewny.com]

Case Report History A 32 year old man was referred for consultation after three months of conservative treatment had failed to relieve low back pain with left sciatic pain to the toes. He denied any bowel orbladder control problems. [healio.com]

View/Print Figure Low Back Pain FIGURE 1. Suggested approach to the initial assessment of the patient with acute low back pain. (CT computed tomographic; MRI magnetic resonance imaging) Adapted from Bigos SJ, et al. [aafp.org]

pain that is worse in the morning Pain that is severe when there is direct manipulation or compression of the affected area of the spine Pain that does not diminish with rest, and pain that may be worse at night than during the day Back pain along with [spine-health.com]

Pain mainly when you sit or stand usually means that the tumor is causing weakness or instability in the bones of your spine. Pain primarily at night or in the early morning that gets better as you move is often the first symptom of a tumor. [mskcc.org]

Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database Syst Rev. 2010;(6):CD007612. Hagen KB, Hilde G, et al. Bedrest for acute low back pain and sciatica. [cancercarewny.com]

Suggested approach to the initial assessment of the patient with acute low back pain. (CT computed tomographic; MRI magnetic resonance imaging) Adapted from Bigos SJ, et al. Acute low back problems in adults. Rockville, Md.: U.S. [aafp.org]

These degenerative changes can be superimposed on a congenitally narrow canal. 18 [ corrected ] Lumbar spinal stenosis may result in neurogenic claudication. In this condition, leg pain is brought on by walking and is relieved by sitting. [aafp.org]

Urinary incontinence is often associated with a syrinx when the lesion causes disruption of the sacral pathways. Sexual dysfunction may also occur in association with loss of sphincter control. [neurospinewi.com]

When the tumor causes pressure on the second or third sacral nerve roots, micturition is affected and there is paralysis of bladder contractions, bladder distention, and retention of urine with overflow incontinence. [neurospinewi.com]

Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database Syst Rev. 2010;(6):CD007612. Hagen KB, Hilde G, et al. Bedrest for acute low back pain and sciatica. [cancercarewny.com]

Neurosurgery and Emergency Care Intracranial Hemorrhage Spinal Cord Injury Spine Fractures Traumatic Brain Injury SPINE Cervical, Thoracic, and Lumbar Degenerative Spine Disease Degenerative Disc Disease Foraminal Stenosis Herniated Disc Radiculopathy Sciatica [vaneurosurgeons.com]

Neurological examination revealed a positive Laséque's sign, which distinguishes sciatica from disease of the hip joint, weakness of the extensor hallucis longus and decreased ankle reflex in his right lower extremity. [nature.com]

Reduced sensory function Cold sensation in the lower limbs Cold, clammy skin Incontinence, both urinary and fecal Paresthesia (burning, prickling, itching, or tingling of the skin) especially on the lower limbs Paralysis Spinal Cancer Causes The cause [cancerwall.com]

The patient should be asked about paresthesias, numbness or weakness. Muscle weakness, if progressive, must be evaluated urgently. [aafp.org]

Neurological examination revealed a positive Laséque's sign, which distinguishes sciatica from disease of the hip joint, weakness of the extensor hallucis longus and decreased ankle reflex in his right lower extremity. [nature.com]