Warning Signs to Watch For

Summary

• More than 95% of chronic back pain is not caused by a life-threatening condition — so take some reassurance from that
• However, if you have leg weakness, bladder or bowel problems, fever, unexplained weight loss, or a history of cancer, always tell your doctor
• Cauda equina syndrome (bladder problems + saddle area numbness + symptoms in both legs) is the one true spinal emergency — go to the emergency room immediately
• Older adults should be aware of compression fractures from osteoporosis — even minor falls can cause fractures
• Even without red flags, back pain that hasn't improved after 6 weeks is worth getting evaluated
• Changes noticed by family members are important clues — don't dismiss pain as "just aging"