What might be a sign that musculoskeletal back pain is more serious?

The presence of incontinence is a significant sign that musculoskeletal back pain may be more serious. This symptom can indicate a potential neurological condition, such as cauda equina syndrome, which is a medical emergency. In this scenario, the spinal nerves are severely compressed, leading to dysfunction of the bowel and bladder. When incontinence occurs alongside back pain, it suggests that there could be underlying spinal pathology that needs urgent evaluation and intervention.

In contrast, mild discomfort, a complete range of motion, and a lack of prior medical history do not typically indicate a serious condition. Mild discomfort suggests the issue may be non-threatening, a complete range of motion implies no significant physical restriction, and having no prior medical history alone does not provide insight into the severity of current symptoms.