Evidence-based imaging for the management of lower back pain in the emergency department: A narrative review
Patients often present to the emergency department with nonspecific complaints of lumbar back pain. Because of the nature of the emergency department, the lack of knowledge or time on the part of providers, and the high levels of quick decision making, unnecessary imaging studies are often ordered...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-06-01
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| Series: | Emergency Care Journal |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/ecj/article/view/10413 |
| _version_ | 1811237122586181632 |
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| author | Kartik Akkihal Edy C. Adams Soman Khan Faraz Jafri Jorge Taboada Thomas Varkey |
| author_facet | Kartik Akkihal Edy C. Adams Soman Khan Faraz Jafri Jorge Taboada Thomas Varkey |
| author_sort | Kartik Akkihal |
| collection | DOAJ |
| description |
Patients often present to the emergency department with nonspecific complaints of lumbar back pain. Because of the nature of the emergency department, the lack of knowledge or time on the part of providers, and the high levels of quick decision making, unnecessary imaging studies are often ordered to provide care for the patient’s emotional and perceived physical needs. This narrative review will present a hypothetical typical standardized case of a patient presenting with lower back pain, examine the current evidence and recommendations from the major ruling bodies in internal medicine, neurology, neurosurgery, and radiology, evaluate the major statements released by the Choosing Wisely campaign, and finally, present a new diagnostic decision tree for the management of lumbar back pain.
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| first_indexed | 2024-04-12T12:20:42Z |
| format | Article |
| id | doaj.art-08fed23a0d1947529e3bbc92cc958470 |
| institution | Directory Open Access Journal |
| issn | 1826-9826 2282-2054 |
| language | English |
| last_indexed | 2024-04-12T12:20:42Z |
| publishDate | 2022-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj.art-08fed23a0d1947529e3bbc92cc9584702022-12-22T03:33:18ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542022-06-0118210.4081/ecj.2022.10413Evidence-based imaging for the management of lower back pain in the emergency department: A narrative reviewKartik Akkihal0Edy C. Adams1Soman Khan2Faraz Jafri3Jorge Taboada4Thomas Varkey5Department of Radiology, Dell Medical School, The University of Texas at Austin, Austin, Texas; Department of Kinesiology and Health Education, College of Education, University of Texas at Austin, Austin, TexasDepartment of Radiology, Dell Medical School, The University of Texas at Austin, Austin, TexasDepartment of Radiology, Dell Medical School, The University of Texas at Austin, Austin, TexasDepartment of Radiology, Dell Medical School, The University of Texas at Austin, Austin, TexasDepartment of Radiology, Dell Medical School, The University of Texas at Austin, Austin, TexasDepartment of Radiology, Dell Medical School, The University of Texas at Austin, Austin, Texas; Department of Business Management, The Colangelo College of Business, Grand Canyon University, Phoenix, Arizona; Department of Educational Psychology, College of Education, University of Texas at Austin, Austin, Texas; Department of Neurology, The University of Arizona, Phoenix, Arizona Patients often present to the emergency department with nonspecific complaints of lumbar back pain. Because of the nature of the emergency department, the lack of knowledge or time on the part of providers, and the high levels of quick decision making, unnecessary imaging studies are often ordered to provide care for the patient’s emotional and perceived physical needs. This narrative review will present a hypothetical typical standardized case of a patient presenting with lower back pain, examine the current evidence and recommendations from the major ruling bodies in internal medicine, neurology, neurosurgery, and radiology, evaluate the major statements released by the Choosing Wisely campaign, and finally, present a new diagnostic decision tree for the management of lumbar back pain. https://www.pagepressjournals.org/index.php/ecj/article/view/10413Value-based careevidence based imagingemergency departmentlumbar back painnon-specific complaints |
| spellingShingle | Kartik Akkihal Edy C. Adams Soman Khan Faraz Jafri Jorge Taboada Thomas Varkey Evidence-based imaging for the management of lower back pain in the emergency department: A narrative review Emergency Care Journal Value-based care evidence based imaging emergency department lumbar back pain non-specific complaints |
| title | Evidence-based imaging for the management of lower back pain in the emergency department: A narrative review |
| title_full | Evidence-based imaging for the management of lower back pain in the emergency department: A narrative review |
| title_fullStr | Evidence-based imaging for the management of lower back pain in the emergency department: A narrative review |
| title_full_unstemmed | Evidence-based imaging for the management of lower back pain in the emergency department: A narrative review |
| title_short | Evidence-based imaging for the management of lower back pain in the emergency department: A narrative review |
| title_sort | evidence based imaging for the management of lower back pain in the emergency department a narrative review |
| topic | Value-based care evidence based imaging emergency department lumbar back pain non-specific complaints |
| url | https://www.pagepressjournals.org/index.php/ecj/article/view/10413 |
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