Sudden onset of back pain.
Standing or walking will usually make the pain worse.
Lying on one's back makes the pain less intense.
Limited spinal flexibility.
Deformity and disability.
Pain that interrupts sleep
Pain that is most pronounced first thing in the morning and again toward the end of the day
Localized tenderness when the affected area of the spine is pressed
Aching, steady or intermittent pain in the lower back that is aggravated by extended activity
Stiffness or loss of flexibility in the back (for example, unable to bend comfortably at the waist)
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