Back pain in the cancer patient: An algorithm for evaluation and management

Russell K. Portenoy, Richard B. Lipton, Kathleen M. Foley

Research output: Contribution to journalArticle

93 Citations (Scopus)

Abstract

Epidural spinal cord compression is common in patients with metastatic cancer. Back pain is usually the first symptom and may be present for months before neurologic abnormalities occur. A favorable outcome depends on early diagnosis and treatment. For the management of this problem, we propose an algorithm that begins with the treatment of patients who need emergency care and proceeds with an orderly approach to the evaluation of less urgent cases. The central elements include the criteria for myelography and the rational use of corticosteroids, radiation therapy, and surgery.

Original languageEnglish (US)
Pages (from-to)134-138
Number of pages5
JournalNeurology
Volume37
Issue number1
StatePublished - 1987

Fingerprint

Back Pain
Nervous System Malformations
Myelography
Spinal Cord Compression
Emergency Medical Services
Early Diagnosis
Neoplasms
Adrenal Cortex Hormones
Radiotherapy
Therapeutics
Cancer Patients
Pain
Evaluation
Compression
Therapy
Surgery
Cancer
Emergency
Radiation
Cord

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology
  • Neuroscience(all)

Cite this

Back pain in the cancer patient : An algorithm for evaluation and management. / Portenoy, Russell K.; Lipton, Richard B.; Foley, Kathleen M.

In: Neurology, Vol. 37, No. 1, 1987, p. 134-138.

Research output: Contribution to journalArticle

Portenoy, RK, Lipton, RB & Foley, KM 1987, 'Back pain in the cancer patient: An algorithm for evaluation and management', Neurology, vol. 37, no. 1, pp. 134-138.
Portenoy, Russell K. ; Lipton, Richard B. ; Foley, Kathleen M. / Back pain in the cancer patient : An algorithm for evaluation and management. In: Neurology. 1987 ; Vol. 37, No. 1. pp. 134-138.
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