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Diagnostic Tests for Middle back pain

Diagnostic Test list for Middle back pain:

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

  • General inspection
    • Posture, gait, level of distress
  • Physical examination
    • Blood pressure (ruptured aortic aneurysm may cause back pain with low blood pressure)
    • Inspect the middle back for symmetry and any deformities (kyphosis or scoliosis)
    • Palpation of the back (centrally and laterally) to reproduce the pain
    • Examine range of movement of the middle back to reproduce pain
  • Blood tests
    • Full blood count and ESR
    • Calcium, phosphate and alkaline phosphatase
    • Prostatic specific antigen (PSA) in males if appropriate
    • HLA-B27 antigen test for Ankylosing Spondylitis and Reiter's disease (uncommonly cause problems in the middle back)
    • Serum electrophoresis for Multiple myeloma
    • Brucella agglutination test (for Brucellosis)
    • Blood culture (for vertebral osteomyelitis and bacterial endocarditis)
  • Mantoux test - if suspect Skeletal tuberculosis.
  • Urine tests
    • Bence -Jones protein analysis for Multiple myeloma
  • Radiological investigations
    • X-Ray of spine - can detect arthritis changes, fractures, reduced bone mass, reduced bone height and malignancy.
    • CT or MRI of spine - perform 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.
  • Electrocardiogram (ECG) - to rule out suspected angina chest pain.
  • Gastroscopy or Barium studies (to rule out possible peptic ulcer)

Home Diagnostic Testing

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

Conditions listing medical symptoms: Middle back pain:

The following list of conditions have 'Middle 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 Middle back pain or choose View All.

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