Template:Waddell's Signs of Non-Organic Back Pain: Difference between revisions

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===Waddell's Signs of Non-Organic [[Low back pain]]===
===Waddell's Signs of Non-Organic [[Low back pain]]<ref>Waddell G, et al. Non-organic physical signs in low-back pain. Spine. 1980; 5:117-125.</ref>===
*Assess for the following<ref>Waddell G, et al. Non-organic physical signs in low-back pain. Spine. 1980; 5:117-125.</ref>:
3 or more positives suggest non-organic or alternative organic source:
*#Over-reaction to the examination
*Over-reaction to the examination
*#Widespread superficial tenderness not corresponding to any anatomical distribution
*Widespread superficial tenderness not corresponding to any anatomical distribution
*#Pain on axial loading of the skull or pain on rotation of the shoulders and pelvis together
*Pain on axial loading of the skull or pain on rotation of the shoulders and pelvis together
*#Severely limited straight leg raising on formal testing in a patient who can sit forwards with the legs extended
*Severely limited straight leg raising on formal testing in a patient who can sit forwards with the legs extended
*#Lower limb weakness or sensory loss not corresponding to a nerve root distribution
*Lower limb weakness or sensory loss not corresponding to a nerve root distribution
*3 or more positives suggest non-organic or alternative organic source

Latest revision as of 05:23, 29 October 2017

Waddell's Signs of Non-Organic Low back pain[1]

3 or more positives suggest non-organic or alternative organic source:

  • Over-reaction to the examination
  • Widespread superficial tenderness not corresponding to any anatomical distribution
  • Pain on axial loading of the skull or pain on rotation of the shoulders and pelvis together
  • Severely limited straight leg raising on formal testing in a patient who can sit forwards with the legs extended
  • Lower limb weakness or sensory loss not corresponding to a nerve root distribution
  1. Waddell G, et al. Non-organic physical signs in low-back pain. Spine. 1980; 5:117-125.