A 60-year-old man with chronic low back pain requests imaging because he is worried about cancer. He has no weight loss, fever, neurological deficits,...

Question

A 60-year-old man with chronic low back pain requests imaging because he is worried about cancer. He has no weight loss, fever, neurological deficits, history of cancer or trauma. According to Choosing Wisely Canada, what is the best initial approach?

Accepted Answer

Explain that imaging is not indicated in the absence of red flags and focus on education, physical activity and pain management

Answer

Order lumbar spine MRI to reassure him

Answer

Order lumbar spine radiographs

Answer

Order bone scan to exclude malignancy

Answer

Admit for inpatient investigation

ca-mccqe1 MCQ (SBA): Chronic low back pain - imaging decision

A 60-year-old man with chronic low back pain requests imaging because he is worried about cancer. He has no weight loss, fever, neurological deficits, history of cancer or trauma. According to Choosing Wisely Canada, what is the best initial approach?