• Rationale and Comments

    Imaging for low back pain in the first six weeks after pain begins should be avoided in the absence of specific clinical indications (e.g., history of cancer with potential metastases, known aortic aneurysm, progressive neurologic deficit). Most low back pain does not need imaging and doing so may reveal incidental findings that divert attention and increase the risk of having unhelpful surgery.

    Sponsoring Organizations

    • American Society of Anesthesiologists


    • ACP/APS guidelines


    • Orthopedic


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