Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Go to an emergency department now if you develop new or rapidly worsening:
Arm or leg weakness
Difficulty walking or standing
Numbness around the genitals, buttocks, or inner thighs
Loss of bladder or bowel control
Inability to pass urine
Confusion, seizure, fainting, or unusual drowsiness
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Severe back or neck pain with fever also needs urgent same-day assessment, particularly after a recent bloodstream infection, spinal procedure, surgery, or injection near the spine.
The same applies if you have diabetes, reduced immunity, use injected drugs, or receive haemodialysis.
If you are already being treated for an epidural abscess, seek urgent help for returning fever, worsening pain, new numbness, or reduced strength.
Do not wait for a routine appointment.
3
Does any of this apply?
Book an appointment
Contact your treating service during routine hours about medication side effects, difficulties completing treatment, wound concerns without severe symptoms, or rehabilitation and return-to-work planning.
Every sign above is quoted from the sofidex article on Epidural abscess. If you are not sure, err upward — it is always reasonable to be checked.