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Preparing for your appointment

By Mayo Clinic staff

If you have back pain that's lasted for at least a few days and isn't improving, make an appointment with your family doctor or primary care provider.

Here's some information to help you prepare for your appointment and what to expect from your doctor.

What you can do

  • Write down any symptoms you've been having, and for how long.
  • Write down key personal information, including any mental or emotional stressors in your life.
  • Make a list of your key medical information, including any other conditions for which you're being treated and the names of any medications, vitamins or supplements you're taking.
  • Note any recent injuries that may have damaged your back.
  • Take a family member or friend along, if possible. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor. Creating your list of questions in advance can help you make the most of your time with your doctor.

For back pain, some basic questions to ask your doctor include:

  • What is the most likely cause of my back pain?
  • Are there any other possible causes?
  • Do I need any diagnostic tests?
  • What treatment approach do you recommend?
  • If you're recommending medications, what are the possible side effects?
  • For how long will I need to be treated?
  • Are there any restrictions that I need to follow?
  • What other self-care measures should I be taking?
  • Is there anything else I can do to help prevent a recurrence of back pain?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.

What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:

  • When did you first begin having back pain?
  • How often do you have back pain?
  • What do you think is causing your pain?
  • How much is your pain limiting your ability to function?
  • Do you have any other signs or symptoms in addition to back pain?
  • Do you have leg pain associated with your back pain?
  • Have you had any unexplained fevers or weight loss?
  • Does your work or recreational activities involve any heavy physical work?
  • Do you exercise regularly? If yes, with what types of activities?
  • How often do you feel blue or depressed?
  • How much stress or conflict do you experience on a daily basis?
  • Do you sleep well most of the time?
  • Do you smoke?
  • Do you use recreational drugs?
  • What treatments or self-care measures have you tried so far? Has anything helped?
  • Are you currently being treated or have you recently been treated for any other medical conditions?
  • What medications are you currently taking, including prescription and over-the-counter drugs as well as vitamins and supplements?

What you can do in the meantime
While you're waiting for your appointment, you may find some relief by using over-the-counter pain relievers, such as aspirin, ibuprofen (Advil, Motrin, others) or acetaminophen (Tylenol, others). You may also benefit from applying heat and cold to the area that's causing you pain.

References
  1. Devereaux M. Low back pain. Medical Clinics of North America. 2009;93:477.
  2. Wheeler SG, et al. Approach to the diagnosis and evaluation of low back pain in adults. http://www.uptodate.com/home/index.html. Accessed Dec. 17, 2009.
  3. Kohatsu W. Low back pain. In: Rakel RE. Integrative Medicine. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/175588812-4/930351402/1494/110.html#4-u1.0-B978-1-4160-2954-0..50067-3_3269. Accessed Dec. 17, 2009.
  4. Knight CL, et al. Treatment of acute low back pain. http://www.uptodate.com/home/index.html. Accessed Dec. 17, 2009.
  5. Last A, et al. Chronic low back pain: Evaluation and management. American Family Physician. 2009;79:1067.
  6. Chou R. Subacute and chronic low back pain: Pharmacologic and noninterventional treatment. http://www.uptodate.com/home/index.html. Accessed Dec. 17, 2009.
  7. Yoga for health: An introduction. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/yoga/introduction.htm. Accessed Dec. 17, 2009.
  8. Low back pain fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm#119483102. Accessed Dec. 17, 2009.
  9. Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 26, 2009.
DS00171 Feb. 9, 2010

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