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Wednesday, February 2, 2011

Low Back Pain does not Always Need Costly Imaging

Posted by Prahallad Panda on 7:25 PM Comments

50pman medical imagingImage via Wikipedia
Low back pain (LBP) does not always require costly investigations. It is not only LBP, several diseases do not need all the costly investigations, those are in the armour of the physicians.

The practice of ordering costly imaging should be linked to cost-benefit ratio. After all it is the national resource. Money spend even by an individual unnecessarily is a national loss.

But, doctors are from the same society where corruption is deep rooted; specially so in India. Some of them go unethical sometimes.

That is not good for the society.

The guidelines should be strictly imposed not only in case of LBP, but also in every other disease.
Amplify’d from

'Selective' Imaging Recommended for Low Back Pain

By John Gever, Senior Editor, MedPage Today
Published: February 01, 2011
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine.
Diagnostic imaging is overused in routine treatment of low back pain for various reasons and should be reserved for patients with specific risk factors, according to a new guideline from the American College of Physicians.
Factors that call for imaging studies include the following:
  • Major risk factors for cancer, such as history of cancer combined with new onset of back pain
  • Risk factors for spinal infections
  • Severe neurologic deficits
  • Signs or risk factors associated with cauda equina syndrome, such as new-onset urine retention or fecal incontinence

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