Question

A 60-year-old man with low back pain for 4 weeks, without trauma, weight loss, neurological deficits or systemic symptoms, requests an MRI "to be safe". According to Choosing Wisely Canada, what is the best response?

Accepted Answer

Explain that imaging is not indicated in uncomplicated low back pain without red flags and focus on conservative management

Answer

Order an urgent MRI to reassure him

Answer

Order lumbar spine radiographs as a compromise

Answer

Order CT scan of the spine instead of MRI

Answer

Refer him urgently to neurosurgery for assessment

Practice question

A 60-year-old man with low back pain for 4 weeks, without trauma, weight loss, neurological deficits or systemic symptoms, requests an MRI "to be safe". According to Choosing Wisely Canada, what is the best response?