Question

A 32-year-old man presents to your clinic with chronic low back pain for 3 weeks after lifting a heavy box at work. He has no red flag features (no trauma, weight loss, fever, neurological deficits or history of cancer). According to Choosing Wisely Canada, what is the best imaging strategy?

Accepted Answer

Avoid routine imaging at this stage and manage conservatively, educating about red flags

Answer

Order lumbar spine X-rays immediately

Answer

Order MRI of the lumbar spine to reassure the patient

Answer

Order CT scan of the entire spine

Answer

Schedule annual lumbar MRIs until pain resolves

Practice question

A 32-year-old man presents to your clinic with chronic low back pain for 3 weeks after lifting a heavy box at work. He has no red flag features (no trauma, weight loss, fever, neurological deficits or history of cancer). According to Choosing Wisely Canada, what is the best imaging strategy?