Symptoms: Neurological: major motor weakness,disturbance of bowel or bladdercontrol, saddle numbness Infection: fever, risk of UTI, IV druguse, immune suppressed Fracture: trauma, osteoporosis risk Tumor: history of cancer, weight loss,fever, pain worse supine or at night Inflammation: morning stiffness >1 hour, Age: < 20 years or > 50 yearsAdapted from: The Peterborough Back Rules chart template.G. Powell and The Peterborough Back Rules Working Group.September, 1997.Rule out red flag conditionsfor acute low back painThis is a POCKET tool. www.pocketdocs.caSymptoms: Neurological: major motor weakness,disturbance of bowel or bladdercontrol, saddle numbness Infection: fever, risk of UTI, IV druguse, immune suppressed Fracture: trauma, osteoporosis risk Tumor: history of cancer, weight loss,fever, pain worse supine or at night Inflammation: morning stiffness >1 hour, Age: < 20 years or > 50 yearsAdapted from: The Peterborough Back Rules chart template.G. Powell and The Peterborough Back Rules Working Group.September, 1997.Rule out red flag conditionsfor acute low back painThis is a POCKET tool. www.pocketdocs.caSymptoms: Neurological: major motor weakness,disturbance of bowel or bladdercontrol, saddle numbness Infection: fever, risk of UTI, IV druguse, immune suppressed Fracture: trauma, osteoporosis risk Tumor: history of cancer, weight loss,fever, pain worse supine or at night Inflammation: morning stiffness >1 hour, Age: < 20 years or > 50 yearsAdapted from: The Peterborough Back Rules chart template.G. Powell and The Peterborough Back Rules Working Group.September, 1997.Rule out red flag conditionsfor acute low back painThis is a POCKET tool. www.pocketdocs.caSymptoms: Neurological: major motor weakness,disturbance of bowel or bladdercontrol, saddle numbness Infection: fever, risk of UTI, IV druguse, immune suppressed Fracture: trauma, osteoporosis risk Tumor: history of cancer, weight loss,fever, pain worse supine or at night Inflammation: morning stiffness >1 hour, Age: < 20 years or > 50 yearsAdapted from: The Peterborough Back Rules chart template.G. Powell and The Peterborough Back Rules Working Group.September, 1997.Rule out red flag conditionsfor acute low back painThis is a POCKET tool. www.pocketdocs.caflag_cards_2008_sheet.qxd5/22/0911:51 AMPage 1Factors that increase the risk of developingor perpetuating long-term disability andwork loss: Belief that back pain is harmful orpotentially severely disabling Fear and avoidance of activity ormovement Tendency to low mood and withdrawalfrom social interaction Expectation of passive treatment(s)rather than a belief that active partici-pation will helpYellow flags for back painAdapted from: Guide to Assessing Psychosocial Yellow Flags inAcute Low Back Pain: Risk Factors for Long-Term Disability andWork Loss. January 1997 edition.This is a POCKET tool. www.pocketdocs.caFactors that increase the risk of developingor perpetuating long-term disability andwork loss: Belief that back pain is harmful orpotentially severely disabling Fear and avoidance of activity ormovement Tendency to low mood and withdrawalfrom social interaction Expectation of passive treatment(s)rather than a belief that active partici-pation will helpYellow flags for back painAdapted from: Guide to Assessing Psychosocial Yellow Flags inAcute Low Back Pain: Risk Factors for Long-Term Disability andWork Loss. January 1997 edition.This is a POCKET tool. www.pocketdocs.caFactors that increase the risk of developingor perpetuating long-term disability andwork loss: Belief that back pain is harmful orpotentially severely disabling Fear and avoidance of activity ormovement Tendency to low mood and withdrawalfrom social interaction Expectation of passive treatment(s)rather than a belief that active partici-pation will helpYellow flags for back painAdapted from: Guide to Assessing Psychosocial Yellow Flags inAcute Low Back Pain: Risk Factors for Long-Term Disability andWork Loss. January 1997 edition.This is a POCKET tool. www.pocketdocs.caFactors that increase the risk of developingor perpetuating long-term disability andwork loss: Belief that back pain is harmful orpotentially severely disabling Fear and avoidance of activity ormovement Tendency to low mood and withdrawalfrom social interaction Expectation of passive treatment(s)rather than a belief that active partici-pation will helpYellow flags for back painAdapted from: Guide to Assessing Psychosocial Yellow Flags inAcute Low Back Pain: Risk Factors for Long-Term Disability andWork Loss. January 1997 edition.This is a POCKET tool. www.pocketdocs.caflag_cards_2008_sheet.qxd5/22/0911:51 AMPage 2