Don’t recommend advanced imaging for low back pain within the first six weeks in patients with non-specific acute low back pain without a red-flag reason, and don’t recommend bed rest for more than 48 hours, says the North American Spine Society.
The organization released its list of five common but overused tests and treatments as part of Choosing Wisely, the American Board of Internal Medicine Foundation’s effort to offer evidence-based recommendations about better care.
Three other recommendations included:
• Don’t use electromyography and nerve conduction studies to determine the cause of axial lumbar, thoracic or cervical spine pain;
• Don’t perform elective spinal injections without imaging guidance, unless contraindicated; and
• Don’t use bone morphogenetic protein for routine anterior cervical spine fusion surgery.