1 edition of Imaging of low back pain found in the catalog.
Imaging of low back pain
|Statement||Jean-Denis Laredo, guest editor. 1.|
|Series||The radiologic clinics of North America -- 38/6|
|Contributions||Laredo, Jean-Denis, 1951-|
|The Physical Object|
|Pagination||x, p.1153-1327 :|
|Number of Pages||1327|
The anatomic diagnosis of low back pain is possible in approximately half of the patients with chronic low back pain. Currently available imaging techniques have diagnostic limitations. We can put a man on the moon, but back pain is just as miserable as ever, and more costly to society than ever. Most information available online is awful.1 There are no miracle cures or back whisperers. Not one popular treatment has ever been shown to work well.2 When we are “shot by the witch,”3 it’s going to run its course like a head cold in most cases, or drag on much longer in a.
The Back Pain Consortium established through HEAL will conduct studies to better understand the mechanisms of common pain conditions such as chronic low back pain, develop improved diagnostic and treatment tools, and identify, prioritize, and test therapies that reduce the need for opioid use for millions of Americans. The differential diagnosis for low back pain is broad, including mechanical, compressive, neoplastic, infectious, and referred visceral disease as causes. Only after thorough history and physical examination should one consider the use of imaging studies.
Imaging studies such as x-ray, CT (computed tomography), and MRI (magnetic resonance imaging) are all employed to evaluate patients who present with back or leg pain. The choice of which examination to conduct depends upon the specific clinical question that needs to be answered. Imaging of Specific Disease Entities; Low back pain is a leading cause of medical disability and lost work time in the United States. It is estimated that the annual cost of low back pain in terms of lost production, medical expenses and workmen's compensation benefits is in the tens of billions of dollars.
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These guidelines apply only to non-specific low back pain present for between six weeks and one year. Non-specific low back pain is back pain not caused by cancer, sepsis, fracture, ankylosing spondylitis or other inflammatory disorders.
Low Back Pain. INTRODUCTION. Low back pain is a common health problem that can be triggered by many factors. Multiple imaging modalities, ranging from plain radiography to advanced nuclear medicine and magnetic.
resonance techniques, have been used to assess spinal injuries and back pain. Despite this variety of imaging modalities, recent File Size: KB. Most of the Chapters were well written, especially those on" Pathology & Pathogenesis of Low Back Pain", "The Site & Nature of the Lesion", "Lumbar Spine Imaging", "Differential Diagnosis of Low Back Pain", "The Three Phases & Three Joints" were extremely well written and informative.5/5(2).
OCLC Number: Notes: "November " Description: x pages, pages illustrations ; 27 cm. Contents: Preface / Jean-Denis Laredo --The lumbar vertebral body and diskovertebral junction: radio MR imaging anatomic correlations / Bruno C.
Vande Berg [and others] --Anatomy of the extradural compartments of the lumbar spinal canal: peridural membrane and. low back pain diagnosis yes Routine imaging is not recommended Consider referral for epidural for subacute radicular pain Establish treatment goals using shared decision-making: • Patient goals • Clinical goals • Patient barriers • Psychosocial factors.
Develop a Treatment Plan. patients with chronic low back pain. Imaging has limited utility because most patients with chronic low back pain have nonspecific find-ings on imaging studies,7 and asymptomatic patients often have abnormal 6findings.
Initial imaging with MRI, which is the preferred study, or CT is only rec. Approximately 75% of adults will experience low back pain at some time in their lives. In any three-month period, approximately 25% of Americans will experience at least one day of back pain.
Evidence shows that unnecessary or routine imaging (X-ray, MRI, CT scans) for low back pain is not associated with improved outcomes. low back s 18 and 2are decision algorithms to guide the physician in the judi-cious use of imaging as a diagnostic tool for resolving low back pain.
The majority of patients with low. Chronic low back pain is a common condition that has significant economic consequences for patients and their communities. In this Technology Insight, the author discusses the imaging methods Cited by: Uncomplicated acute LBP and/or radiculopathy is a benign, self-limited, condition that does not warrant any imaging studies.
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 back pain. Diagnostic evaluation of low back pain with emphasis on imaging. Ann Intern Med. ;(7) (Review article) Modic MT, Obuchowski NA, Ross JS, Brant-Zawadzki MN, Grooff PN, Mazanec DJ, et al.
Acute low back pain and radiculopathy: MR imaging findings and their prognostic role and effect on outcome. Radiology. ;(2) OCLC Number: Notes: "January " Description: vi, pages: illustrations ; 27 cm.
Contents: Preface / Jean-Denis Laredo --The postsurgical lumbosacral spine: magnetic resonance imaging evaluation following intervertebral disk surgery, surgical decompression, intervertebral bony fusion, and spinal instrumentation / J.
Randy Jinkins and Johan W.M. Van Goethem --Imaging lumbar. History and physical exam are sufficient for evaluation of non-traumatic, acute back pain in the absence of red flags - avoid imaging before six weeks in acute back pain in the absence of red flags NSAIDs, opioids, and topiramate are more effective than placebo in the short-term treatment of nonspecific chronic low back pain.
Low back pain is very common, and many patients with low back pain receive routine spinal imaging (lumbar radiography, computed tomography [CT], or magnetic resonance imaging [MRI]), despite evidence-based recommendations from the American College of Physicians (ACP) and the American Pain Society (APS) that call for imaging only for patients who have severe or progressive neurologic.
Correlate findings with Low Back Pain History and Low Back Pain Exam; Cheung () Spine 34(9): [PubMed] These images are a random sampling from a Bing search on the term "Low Back Imaging." Click on the image (or right click) to open the source website in a new browser window.
this collection now contains interlinked topic. The problem of imaging patients with low back pain (LBP) when it is not indicated is well recognized. The converse is also possible, although rarely considered. The extent of Cited by: Lower back pain (LBP) is one of the most common chief complaints encountered in primary care.
Advanced imaging studies, including computerized tomography (CT) and magnetic resonance imaging (MRI), are frequently ordered in the setting of LBP. Structural abnormalities are commonly identified by CT and MRI in patients complaining of low back pain, however, these findings Author: Dinesh Rao, Gaelyn Scuderi, Chris Scuderi, Reetu Grewal, Sukhwinder Js Sandhu.
This book and the technique it represents is a specialty within the chiropractic profession, focusing primarily upon methods to relieve discogenic lower back pain, neck pain, arm pain, leg pain and a host of other spinal related conditions like disc herniation, spinal stenosis, and post-surgical continued pain.
Cox has spent nearly 50 years /5(11). The ACR Appropriateness Criteria ® (AC) are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition.
Employing these guidelines helps providers enhance quality of care and contribute to the most efficacious use of radiology. members with a primary diagnosis of low back pain that did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of the diagnosis.
The measurement period is January 1st – December 3rd of the measurement year as imaging studies are captured 28 days after diagnosis of low back pain. *** The measure is reported as an inverted rate.
Fixing You: Back Pain 2nd edition: Self-Treatment for Back Pain, Sciatica, Bulging and Herniated Discs, Stenosis, Degenerative Discs, and other Diagnoses.
Rick Olderman out of 5 stars Bone scans of L3 Spondylolysis. Conclusions. In patients with non specific acute low back pain, without the red flags, a conservative approach is preferable, with assessment in 4–6 weeks.
The natural history of low back pain is favorable with improvement over time, thus reassurance to such patients is very by: Overutilization of lumbar imaging in individuals with low back pain correlates with, and likely contributes to, a 2- to 3-fold increase in surgical rates over the last 10 years.
Furthermore, a patient's knowledge of imaging abnormalities can actually decrease self-perception of health and may lead to fear-avoidance and catastrophizing behaviors Cited by: