Emergency department management of patients with low back pain: a review of current evidence.

Emerg Med Pract

Attending Physician, New York-Presbyterian Queens, Envision Physician Services Department of Emergency Medicine, Flushing, NY.

Published: November 2024

AI Article Synopsis

  • Low back pain frequently presents in emergency departments, making it difficult to differentiate between benign and serious causes.
  • A systematic approach to history-taking and physical exams can minimize unnecessary imaging and improve pain management.
  • The review includes red flag symptoms, diagnostic study recommendations, and optimal treatment strategies for low back pain.

Article Abstract

Low back pain is a common presentation in the emergency department, and determining whether the cause is benign or life-threatening can be challenging. A systematic strategy for the history and physical examination can help reduce unnecessary imaging, and an evidence-based approach will inform safe and effective pain management recommendations. This issue reviews the evidence on red flag signs and symptoms for low back pain, current diagnostic studies recommendations, and best-practice treatment and disposition strategies.

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