Hill Health Magazine

X-rays: Often Unnecessary for Low Back Pain

Eighty percent of Americans will experience back pain at some time in our lives. It is the third most common reason for doctor visits and most people expect to have an X-ray. But is it really necessary?

“More than 85 percent of low back pain has a non-specific and non-serious cause,” says Michael Robbins, MD, a Hill Physicians neurosurgeon in Folsom. “In these cases, X-rays, CT scans and MRIs can expose you to unnecessary radiation and costs and seldom are needed for appropriate treatment. These tests often can lead to further invasive and potentially harmful procedures which might be unnecessary.”

Good news: The majority of low back pain episodes will get better within six weeks – with or without treatment. In the meantime, comfort measures such as ice, heat or massage can help. Over-the-counter medication such as acetaminophen (Tylenol®), aspirin or nonsteroidal anti-inflammatory medications such as ibuprofen (Advil®, Motrin®) and naproxen (Aleve®) can help ease the pain. Gentle activity like walking and yoga can help strengthen muscles, increase flexibility and relieve pain. If severe pain requires a short period of bed rest, limit to no more than three days and return to normal activity as soon possible. Long periods of inactivity can lead to further weakening of back muscles and slow your recovery.

If you are experiencing significant neurological dysfunction such as a weakness in a leg or foot or loss of bowel or bladder control, seek medical attention immediately.

More information: Low back pain

Hill Health Magazine main | Fall 2008 issue | Archive