Age > 50 |
Significant trauma (fall from more than 10 feet) |
Progressive neuro-motor deficits |
Unexplained weight loss (10 lb in six months) |
Suspicion of ankylosing spondylitis |
Drug or alcohol abuse |
History of malignancy |
Use of corticosteroids |
Fever |
Recent visit (within 1 month) for same problem with no improvement |
Patient seeking compensation for back pain(work-related injury) |