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Proper History and Physical Are Keys to Low Back Pain Dx

By: Finn, Robert | Clinical Psychiatry News, March 2006 | Article details

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Proper History and Physical Are Keys to Low Back Pain Dx


Finn, Robert, Clinical Psychiatry News


SAN FRANCISCO -- A careful history and physical exam, without the need for lab tests or radiography, can help identify any red flags in patients presenting with low back pain, Dr. David Borenstein said at the annual meeting of the American College of Physicians.

The history can distinguish mechanical from systemic disorders, and the physical exam can distinguish neurologic from nonneurologic conditions, said Dr. Borenstein of George Washington University, Washington.

"Laboratory tests are notably inconsequential," he said. "When you're taking your history and you don't think they have one of these systemic illnesses, you really don't have to do laboratory tests on …

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