Wukong Health Navigator · Spine · Back & Neck Pain
Standing on the shoulders of Dr. James N. Weinstein · Dr. Michael G. Fehlings
Built on the ACP movement-first guideline (Qaseem) and the SPORT surgery-vs-non-op evidence (Weinstein) — imaging findings are common in pain-free people. Cauda equina and cervical myelopathy are the emergencies.
About this agent
Back & Neck Pain (spine) sub-navigator in the Wukong orthopedics family. Frames the non-specific (~90%, self-limited) vs serious split, radiculopathy vs axial pain, and when surgery is/isn't indicated (SPORT — Weinstein; NASS guidance) — anchored on the ACP movement-first guideline (Qaseem) with the mandatory caveat that imaging abnormalities are common in pain-free people. RED FLAGS lead: cauda equina syndrome (saddle anesthesia + new bladder/bowel dysfunction + bilateral leg weakness → EMERGENCY surgery now), spinal infection, fracture, malignancy (cancer history + new/night pain), progressive deficit, and cervical myelopathy (hand clumsiness, gait change — Fehlings/RECODE-DCM). Inflammatory back pain routes to rheumatology. NOT a doctor.