A 54-year-old man with chronic low back pain for 3 weeks after lifting at work has no neurological deficits, no history of cancer, trauma, weight loss...

Question

A 54-year-old man with chronic low back pain for 3 weeks after lifting at work has no neurological deficits, no history of cancer, trauma, weight loss, systemic symptoms or intravenous drug use. According to Choosing Wisely Canada recommendations, what is the most appropriate approach to imaging?

Accepted Answer

Defer imaging and manage conservatively unless red flag features develop or persist

Answer

Order an urgent MRI of the lumbar spine

Answer

Order a CT scan of the lumbar spine

Answer

Order lumbar spine X-rays

Answer

Order bone scan to exclude malignancy

ca-mccqe1 MCQ (SBA): Non-specific low back pain

A 54-year-old man with chronic low back pain for 3 weeks after lifting at work has no neurological deficits, no history of cancer, trauma, weight loss, systemic symptoms or intravenous drug use. According to Choosing Wisely Canada recommendations, what is the most appropriate approach to imaging?