Informed appropriate imaging for low back pain management: A narrative review
| Autor: | Marcello Henrique Nogueira-Barbosa, Ai-Min Wu, Yi-Xiang J. Wang, Fernando Ruiz Santiago |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Pediatrics medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Natural history Cauda equina syndrome Disease Malignancy Imaging 03 medical and health sciences 0302 clinical medicine Radicular pain medicine Medical imaging Low back pain Orthopedics and Sports Medicine Clinical significance 030212 general & internal medicine Risk factor Radiculopathy business.industry medicine.disease Spine lcsh:RC925-935 medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Orthopaedic Translation, Vol 15, Iss, Pp 21-34 (2018) |
| ISSN: | 2214-031X |
| DOI: | 10.1016/j.jot.2018.07.009 |
| Popis: | Most patients with acute low back pain (LBP), with or without radiculopathy, have substantial improvements in pain and function in the first 4 weeks, and they do not require routine imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their LBP. It is also considered for those patients presenting with suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture and infection. In western country primary care settings, the prevalence has been suggested to be 0.7% for metastatic cancer, 0.01% for spinal infection and 0.04% for cauda equina syndrome. Of the small proportion of patients with any of these conditions, almost all have an identifiable risk factor. Osteoporotic vertebral compression fractures (4%) and inflammatory spine disease ( |
| Databáze: | OpenAIRE |
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