What is included in the clinical history of patients with lumbosacral facet syndrome?

Updated: Nov 19, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Craig C Young, MD  more...
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Answer

A basic demographic history should be taken. In particular, because most Z-joint pain is related to degenerative changes, older age may be related to Z-joint pathology.

The basic history should include a temporal account of the symptoms, a complete description of the problem, and a discussion of the associated activities that cause or alleviate the pain. The patient should describe the location of the pain; state whether it is isolated or radiating; and relate its intensity, character, and frequency. Red flags (ie, symptoms or signs that stand out as highly suggestive) that should be seriously scrutinized include the presence of unexplained weight loss, fever, and chills. The clinician should also obtain a history of any previous treatments (eg, injections, medications, therapy) and whether they were successful.


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