Pain & Neurology Red Flags—When to Act Fast
Most scoliosis-related symptoms can be assessed through routine appointments. However, certain neurological signs require urgent attention. Recognising these “red flags” can protect long-term function.
Key Neurological Red Flags
Immediate review is needed if you or your child experiences:
- New or worsening leg weakness.
- Loss of sensation or pins and needles spreading in the legs.
- Changes in bladder or bowel control.
- Difficulty walking, frequent tripping, or falls.
Severe Back Pain Red Flags
Seek urgent help if pain is:
- Severe and constant, especially at night.
- Associated with fever or unexplained weight loss.
- Linked to recent significant trauma.
Dorsi’s Urgent Pathways
At Dorsi Spinal Institute, red flags trigger:
- Priority clinical assessment.
- Rapid imaging (MRI, x-ray) where appropriate.
- Immediate communication with NHS neurosurgical or orthopaedic teams if serious pathology is suspected.
Why Not to Delay
Some neurological problems may be reversible if treated quickly but can become permanent if ignored. Early action can make a critical difference.
Next Steps
If you recognise any of these red flags in yourself or your child, do not wait. Contact emergency services, your GP, or Dorsi Spinal Institute for urgent advice and assessment.
Related reading: see our blogs on scoliosis back pain, degenerative scoliosis, and when scoliosis affects breathing.
Written by
Dr Matthew ABJ Potts BSc MSc DC ISPRM
Clinical Director
Doctor of Chiropractic
Specialist Scoliosis Consultant
Fellow of the British Scoliosis Society
Member of the Scoliosis Association (UK)
Chair of the Clinical Advisory Board at Meloq AB
Member of the International Society of Physical and Rehabilitation Medicine
Editorial board member of international journals CICRJ & Rehabilitation Science
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