What is it?
Back and neck pain may arise from causes ranging from muscle strain to disc herniation and spinal stenosis. Pain spreading to the arm or leg, numbness and weakness are particularly relevant.
The examination covers spinal movement, nerve tension tests, reflexes and muscle strength. Imaging is not needed for every pain; it is decided based on findings. The plan may include exercise, physiotherapy, medication and, when needed, further tests or joint assessment with neurosurgery.
The course of back and neck pain varies widely between people. If you notice loss of bladder or bowel control or rapidly increasing weakness, go to an emergency department without delay.
Who is it assessed for?
- People with pain spreading to the leg or arm
- People whose back pain worsens with long sitting
- People who feel numbness in the arm or leg
- People with recurrent stiff neck
- People whose work involves heavy lifting
Step by step
- 1
History
The spread of pain, related symptoms and your daily posture are discussed.
- 2
Neurological examination
Reflexes, sensation and muscle strength are assessed.
- 3
Test decision
Whether imaging is needed is decided based on findings.
- 4
Planning
Exercise, physiotherapy and other options are chosen together.
- 5
Follow-up
The plan is updated according to how symptoms progress.
Questions
Is an MRI needed for every back pain?
No. Imaging is requested when examination findings and symptom duration call for it.
Is bed rest recommended?
Prolonged bed rest is usually not recommended. Suitable activities are discussed after examination.
Is disc surgery done in orthopaedics?
Spine surgery is performed by orthopaedic and neurosurgery specialists. Joint assessment is arranged when needed.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.