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Question
question 8
which of the following symptoms suggests a more serious cause of back pain?
pain associated with coughing or sneezing
pain associated with muscle spasm
pain associated with lying down at night
pain associated with negative straight leg raise
Pain associated with lying down at night can be a sign of more serious underlying conditions such as tumors, infections, or spinal stenosis. In contrast, pain associated with muscle spasm is usually due to overuse or injury of the muscle and is less likely to be a serious cause. Pain associated with coughing or sneezing is often related to nerve root irritation (like in herniated disc) but is not as strongly indicative of a very serious systemic cause as night - lying pain. A negative straight - leg raise means that the test (which is used to detect nerve root irritation) is not positive, so it is less likely to be a sign of a serious back problem.
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Pain associated with lying down at night