Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

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Published online 2020 Oct 8. doi: 10.1089/acm.2020.0181

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Table 10.

Red Flags on History and Examination^15,17,55,56

Red flags: History	Red 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