Suggested Pre-Referral Evaluation and Management Guidelines
Ask about radicular pain, weakness or numbness
Suggested Additional Test/Management Prior to Specialty Visit
A trial of NSAIDs, perhaps rest for a few days, and consider physical therapy if chronic, mild and without associated neurologic symptoms
MQIC Guideline
Patient Education/Information (includes preps)
1)
May provide education about lifting, back and neck exercises, cervical support pillow
With associated weakness, or bowel and bladder symptoms, evaluation is urgent/emergent. Otherwise try measures indicated and send refractory patients to General Neurology clinic, Spine PMR clinic, or Center for Interventional Pain Medicine (Pain Clinic).
How to Get Results to Consultant
UMHS Patients: See MiChart External Patients: Hand carry non-UM records and MRI films to visit