Patient diagnosis and flags in physiotherapy: what they are, what they are, what they are for

In the world of physiotherapy, the English term "Flags" (transl. " Flags"), is mainly used to refer to warning signs of particular conditions that may affect physiotherapy treatment. Understanding these symptoms in advance is crucial to ensure appropriate and safe treatment according to each patient's condition. That is why in FISIOLAB we precisely analyze each signal to ensure maximum care and accuracy depending on each issue.

What are flags?

When we talk about flags, we are simply talking about identification by the specialist toward certain warnings that may need specific evaluation or intervention. Observing certain symptoms in advance could make all the difference.
We want to help you better understand this concept that is fundamental to us: prevention is the first step in promoting healthy living, reducing the burden of disease, and improving individual and collective well-being.

Flags are generally divided into several categories, each of which has a specific meaning and requires special attention:

Red Flags:

are signs of serious medical conditions that require immediate evaluation by a specialist. They can include symptoms of serious conditions such as infections, tumors, fractures or neurological conditions.
Some examples of red flags:
- Constant, severe pain that does not diminish with rest
- unexplained weight loss
- persistent high fever
- neurological deficits such as loss of sensation and/or strength

Yellow Flags:

are signs indicating psychological, social, and behavioral factors that may influence the patient's recovery.
These factors may include:
- fear of movement or physical activity
- depression or anxiety
- avoidance behaviors
- social problems such as work or family difficulties

Blue Flags:

refer to work-related factors that may influence the patient's recovery and return to work.
These can be:
- job dissatisfaction
- lack of support at work
- belief that work may worsen pain

Black Flags:

concern socio-economic and legal conditions that may hinder the patient's recovery.
For example:
- ongoing legal disputes
- economic barriers to accessing care
- situations of permanent disability

What is the purpose of identifying flags?

Flags help guide physical therapists in the process of patient assessment and treatment. Here's how:

  • Early identification: quickly recognizing Red Flags can save lives by allowing immediate access to specialist visits.
  • Personalized treatment plan: understanding the Yellow, Blue and Black Flags helps create a treatment plan that takes into account all factors that may influence the rehabilitation pathway
  • Relapse prevention: identifying and managing psychosocial risk factors can prevent chronic pain and improve patients' long-term well-being

Flags in physical therapy are indispensable tools for complete and accurate patient assessment. Recognizing and managing these signs allows physical therapists to provide safe and effective treatment, significantly improving patients' quality of life. Continuing education and attention to detail are critical to making the most of this diagnostic and therapeutic approach.

Have you ever had symptoms that affected your daily life? Write to us now, together we can assess your situation to finally achieve a status of complete well-being.