Findings in Patient with Back Pain Suggesting Metastatic Tumor

Age of the patient

• a past history of similar episodes of pain?

• a history of cancer?

• unexplained weight loss?

• night sweats and/or fevers?

• unexplained fatigue?

• worse when the patient is lying in a supine position?

• worse at night?

• constant, dull and not relieved by rest?

• generalized, involving multiple bones?

• unrelated to movement or posture?

Is there a significant elevation in the erythrocyte sedimentation rate (ESR)?