Consumer Reports’ “Choosing Wisely” Campaign for Low Back Pain

FROM: 28th Annual Meeting, the North American Spine Society (NASS)

Five Things Physicians and Patients Should Question:

  • Don’t recommend advanced imaging (e.g., MRI) of the spine within the first six weeks in patients with non-specific acute low back pain in the absence of red flags.

  • Don’t perform elective spinal injections without imaging guidance, unless contraindicated.

  • Don’t use bone morphogenetic protein (BMP) for routine anterior cervical spine fusion surgery.

  • Don’t use electromyography (EMG) and nerve conduction studies (NCS) to determine the cause of axial lumbar, thoracic or cervical spine pain.

  • Don’t recommend bed rest for more than 48 hours when treating low back pain.

  • Read More!

How the health care system is making pain patients worse:

…"Yet there is an answer to chronic pain that many physicians and pain specialists have agreed upon for years: multidisciplinary treatment. The “team” consists of a physician who uses a biopsychosocial approach to chronic pain and a multidisciplinary team"…Read More:


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