GIRFT interactive pathways

Presentation in Primary & Community Care

Have you
considered alternative
serious causes for back
pain/leg pain?

Select the answer

Has the patient developed any of the following in the last 14 days?

New (within 14 days) or deteriorating difficulty initiating micturition or impaired sensation of urinary flow

New (within 14 days) or deteriorating altered perianal, perineal or genital sensation S2-S5 dermatomes – area may be small or as big as a horses’ saddle (subjectively reported or objectively tested)

Severe or progressive neurological deficit of both legs, such as major motor weakness with knee extension, ankle eversion, or foot dorsiflexion

New (within 14 days) or deteriorating loss of sensation of rectal fullness

New (within 14 days) or deteriorating sexual dysfunction (achievement of erection or ability to ejaculate, loss of genital sensation)

Note: Low back pain with sexual dysfunction as the only other feature is unlikely to be due to CES

Select the answer