Fast Five Quiz: Sexual Intercourse Injuries

Richard H. Sinert, DO

Disclosures

June 10, 2022

Although not pathognomonic for sprain/strain, imaging results are important for excluding other diagnoses and more extensive injuries. Overall, MRI is the best noninvasive and detailed imaging study for evaluating the status of the discs and spinal cord. Order MRI if detailed analysis of spinal structures (eg, spinal cord, disc) is indicated, as in, for example, an evaluation for underlying herniated nucleus pulposus. MRI is indicated in patients with persistent arm pain, neurologic deficits, or clinical signs of nerve root compression.

Discography is used in the presurgical evaluation, to identify the level on which to operate. CT may be used as an alternative to MRI in patients with claustrophobia, although disc imaging with CT offers low resolution. CT myelography is an invasive imaging study that may be useful for a detailed analysis if plain CT and MRI are not sufficient.

Learn more about the workup of neck sprains and strains.

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