Most cases of back pain can be managed by a primary care provider and will probably resolve in about six weeks, according to Duke back pain experts.

Some signs that back pain requires specialized attention:

Severe or persistent radiating pain

• Patients with spinal instability may have back pain that radiates to their legs and often gets worse as they walk, says Christopher R. Brown, MD
• Conditions that put pressure on the spinal cord nerves may cause back pain, but it's often overshadowed by tingling, pain, or numbness in the arms or legs.

Sudden changes in pain

• For example, if a patient has complained of pain while standing or walking long distances, but now suddenly has sharp pain shooting down a leg or arm, that's reason for further evaluation.

Pain accompanied by other symptoms

• A patient with back pain but also significant weakness in the legs, problems with walking or gait, or bowel and bladder issues could have neurological changes or other problems.
• Back pain combined with weight loss or fevers or chills could signal infection or cancer.