Tenderness to focal percussion of one vertebra
Suspect especially if any of the following:- Sufficient Trauma to fracture a vertebra
- Elderly patient at risk for cancer
- Strongly suspect if Hx of wt. loss, fevers, night sweats
- Elevated ESR (>50)
- Metastasis
- Multiple myeloma
- Osteomyelitis
- Epidural compression
See posting Back Pain & Neck Pain.