Suggested Pre-Referral Evaluation and Management Guidelines
Screen for potentially serious causes
Screen for progressive motor weakness
NSAIDs; opioid analgesic for severe pain
Gabapentin or amitriptyline for neuropathic pain
Patient education
Suggested Additional Test/Management Prior to Specialty Visit
Cervical AP/lateral, flexion/extension x-rays to rule out instability
MRI if progressive weakness
Patient Education/Information (includes preps)
Spine self-care
Home exercise program
Body mechanics
Ergonomic principles
Appointment Timeframe
1 week
How to Get Results to Consultant
UMHS Patients: See CareWeb
External Patients: hand carry medical records including obstetric records, previous EMGs, X Rays and surgical evaluations and clinic notes to visit