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The table provides a comprehensive overview of key factors and clinical presentations associated with spinal metastases and MSCC. It integrates crucial information about patient history, pain characteristics, and specific neurological symptoms. This guide, rooted in NICE recommendations, is essential for healthcare professionals to promptly recognize and address potential cases of spinal metastases or MSCC.
For a more in-depth exploration and visual representation of this topic, healthcare professionals can refer to our chart available at https://a4medicine.co.uk/chart/details/64721e22daf5ca88acbcee89.
| Factors/Recommendations | Details/Indicators |
|---|---|
| Cancer | - Past or current diagnosis of cancer - Suspected diagnosis of cancer |
| 👉 Pain Characteristics Suggesting Spinal Metastases | - Severe unremitting back pain - Progressive back pain - Mechanical pain (aggravated by standing, sitting or moving) - Back pain aggravated by straining (e.g., coughing, sneezing, bowel movements) - Night-time back pain disturbing sleep - Localised tenderness - Claudication (muscle pain/cramping in legs when walking/exercising) |
| 👉 Symptoms and Signs Suggesting Cord Compression | - Bladder or bowel dysfunction - Gait disturbance or difficulty walking - Limb weakness - Neurological signs of spinal cord or cauda equina compression - Numbness, paraesthesia, or sensory loss - Radicular pain |
| Immediate Action Recommendations ⌛ | ⚠️ Contact MSCC coordinator immediately: this is an oncological emergency if symptoms/signs of... |
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