Question

A 15-year-old boy presents with chronic low back pain for 2 months without trauma. He has no neurological deficits, weight loss, fever, history of cancer or infection, and his examination is otherwise normal. According to Choosing Wisely Canada, what is the most appropriate initial approach?

Accepted Answer

Avoid imaging initially and manage with conservative therapy while monitoring for red flags

Answer

Order lumbar spine MRI immediately

Answer

Order plain lumbar spine radiographs immediately

Answer

Order CT scan of the lumbar spine

Answer

Refer urgently for spinal surgery assessment

Practice question

A 15-year-old boy presents with chronic low back pain for 2 months without trauma. He has no neurological deficits, weight loss, fever, history of cancer or infection, and his examination is otherwise normal. According to Choosing Wisely Canada, what is the most appropriate initial approach?