Fast Five Quiz: How Much Do You Know About Mechanical Low Back Pain?

James W. Pritchett, MD

Disclosures

December 15, 2017

The ACR has published appropriateness criteria for low back pain, including the following:

  • Uncomplicated acute low back pain and/or radiculopathy are benign, self-limited conditions that do not warrant any imaging studies.

  • MRI of the lumbar spine should be considered for those patients presenting with red flags raising suspicion for a serious underlying condition, such as cauda equina syndrome, malignancy, or infection.

  • In patients with a history of low-velocity trauma, osteoporosis, or chronic steroid use, initial evaluation with radiographs is recommended.

  • MRI is the imaging procedure of choice in patients suspected of having cord compression or spinal cord injury.

  • Patients with recurrent low back pain and history of prior surgical intervention should be evaluated with contrast-enhanced MRI.

For more on the workup of low back pain, read here.

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