The first step would include taking a full history of symptoms followed by a comprehensive clinical examination. This is used to determine the likely origin of the symptoms and helps to prepare the appropriate treatment approaches.
If the cause of pain is associated with any kind of trauma or the patient has more severe symptoms such as pins and needles, weakness or numbness, then an X-ray or MRI may be indicated to look at the bony structure of the spine (X-ray or MRI), or the soft tissues of the spine (MRI). Other tests may be indicated to help determine the origin of the symptoms, such as nerve conduction tests.Referral to a specialist may be required to exclude other possible causes of the problems including vascular (circulation and heart), systemic (rheumatoid arthritis) or endocrine (hormonal) causes for the pain.
If you have any of the following symptoms, please consult your doctor immediately.
- Loss of bladder or bowel control
- Legs collapsing
- Loss of feeling in the pelvic region
- Difficulty swallowing