BACK PAIN: REASONS FOR REFERRAL
€¢ If backache is not related to movement
€¢ Pain in the upper back not obviously due to muscle or ligament strain
€¢ If associated with other symptoms of illness
€¢ If associated with neurological symptoms such as numbness or tingling in legs or feet
€¢ Problems with bowel or bladder function
€¢ Severe pain at night
€¢ Cyclical low-back pain in women in the middle or second half of menstrual cycle
€¢ No improvement with over-the-counter medication after 1 week.
