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Diagnostic Tests for Lower back pain

Diagnostic Test list for Lower back pain:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Lower back pain includes:

  • General inspection
    • Posture, gait, level of distress
  • Physical examination
    • Inspect the lower back, examine range of movement of the back to reproduce pain, palpation of the back
    • Neurological examination of the lower limbs
    • Examine hip and sacro-iliac joints
    • General medical examination if appropriate - e.g. rectal examination.
  • Blood tests
    • Full blood count and ESR
    • Calcium, phosphate and alkaline phosphatase
    • Prostatic specific antigen (PSA) in males if appropriate
    • HLA-B27 antigen test fro Ankylosing Spondylitis and Reiter's disease
    • Rheumatoid factor for Rheumatoid arthritis
    • Serum electrophoresis for Multiple myeloma
    • Blood culture for vertebral osteomyelitis
  • Mantoux test - if suspect Skeletal tuberculosis.
  • Urine tests
    • Urinalysis and culture to detect Urinary tract infection
  • Radiological investigations
    • X-Ray of Lumbosacral spinal - can detect arthritis changes, fractures, reduced bone mass, reduced bone height, spondylolisthesis.
    • CT or MRI of lumbosacral spine - perform if radiation of pain into trunk or legs or if the person has persistent back pain. Can detect spinal canal stenosis or nerve root compression.
    • Bone scan - can detect the early development of malignant disease, osteomyelitis and inflammatory disease before changes are apparent on plain X-Ray.
    • Bone densitometry - can predict an increased risk of osteoporosis.
  • Electromyographic (EMG) studies - to screen leg pain and differentiate neurological diseases from nerve compression syndromes.
  • If the above investigations are negative, the possibility of a non- neurological or non-orthopedic condition causing the back pain should be considered e.g. abdominal ultrasound scan to rule out aortic aneurysm; pelvic tumor ; Prostatic tumor

Home Diagnostic Testing

These home medical tests may be relevant to Lower back pain causes:

Conditions listing medical symptoms: Lower back pain:

The following list of conditions have 'Lower back pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Lower back pain or choose View All.

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