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Journal of Alternative and Complementary Medicine
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Table 10.

Red Flags on History and Examination15,17,55,56

Red flags: HistoryRed flags: Examination6
 • Cancer
 • Confusion/altered consciousness
 • Connective tissue disease
 • Osteopenia
 • Severe nocturnal pain
 • Significant trauma or infection
 • Unexplained weight loss
 • Unexplained/novel neck pain
 • Visual or speech disturbances
 • Weakness or loss of sensation
 • “Worst headache ever” or new headache, unlike any previous
• Abnormal sensory, motor or deep tendon reflexes
• Fever >100°F
• Nuchal rigidity
• Pain pattern unrelated to movements or activities