Question

A 54-year-old man presents with low back pain for 10 days after lifting a heavy box. He has no neurological deficit, no history of trauma, cancer, or systemic symptoms, and normal vital signs. According to Choosing Wisely Canada, what is the most appropriate management regarding imaging?

Accepted Answer

Do not order imaging at this stage and manage conservatively unless red flags emerge or symptoms persist beyond several weeks

Answer

Order an urgent lumbar MRI

Answer

Order lumbar spine radiographs immediately

Answer

Order CT of the lumbar spine

Answer

Order whole-spine radiographs to exclude malignancy

Practice question

A 54-year-old man presents with low back pain for 10 days after lifting a heavy box. He has no neurological deficit, no history of trauma, cancer, or systemic symptoms, and normal vital signs. According to Choosing Wisely Canada, what is the most appropriate management regarding imaging?