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{{Back pain}}
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{{CMG}} {{AE}} {{ZMalik}}
==Overview==
==Overview==
[[Bone scan]], [[SPECT]] [[scan]], [[DEXA scan]] and [[thermography]] may be helpful in identifying the cause of [[back]] [[pain]].


==Electromyography==
==Other Imaging Findings==
Electrodiagnostic procedures include electromyography ([[EMG]]), nerve conduction studies, and evoked potential (EP) studies. EMG assesses the electrical activity in a nerve and can detect if muscle weakness results from injury or a problem with the nerves that control the muscles. Very fine needles are inserted in muscles to measure electrical activity transmitted from the brain or spinal cord to a particular area of the body. With nerve conduction studies the doctor uses two sets of electrodes (similar to those used during an electrocardiogram) that are placed on the skin over the muscles. The first set gives the patient a mild shock to stimulate the nerve that runs to a particular muscle. The second set of electrodes is used to make a recording of the nerve’s electrical signals, and from this information the doctor can determine if there is nerve damage. EP tests also involve two sets of electrodes — one set to stimulate a sensory nerve and the other set on the scalp to record the speed of nerve signal transmissions to the brain.
*[[Bone scan]] is used to [[diagnose]] and monitor [[infection]], [[fracture]], or disorders in the [[bone]]. [[Pathologies]] including [[bone]] [[metastases]], [[osteomyelitis]], and some [[benign]] [[skeletal]] [[lesions]] can be detected with a [[bone scan]].<ref name="pmid2141183">{{cite journal| author=Collier BD, Kir KM, Mills BJ, Patel NC, Pochis WT, Onsel C | display-authors=etal| title=Bone scan: a useful test for evaluating patients with low back pain. | journal=Skeletal Radiol | year= 1990 | volume= 19 | issue= 4 | pages= 267-70 | pmid=2141183 | doi=10.1007/BF00191669 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2141183  }} </ref> 
*A [[bone scan]] can be paired with [[SPECT]] [[scan]] if intricate [[bone]] details are required for [[diagnosis]], as in the case of [[lumbar]] [[facet]] [[disease]].<ref name="pmid9010055">{{cite journal| author=Dolan AL, Ryan PJ, Arden NK, Stratton R, Wedley JR, Hamann W | display-authors=etal| title=The value of SPECT scans in identifying back pain likely to benefit from facet joint injection. | journal=Br J Rheumatol | year= 1996 | volume= 35 | issue= 12 | pages= 1269-73 | pmid=9010055 | doi=10.1093/rheumatology/35.12.1269 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9010055  }} </ref>
*[[DEXA scan]] is helpful in assessing [[osteoporosis]] risk and predicts development of potential small [[vertebral]] [[fractures]].<ref name="pmid30069238">{{cite journal| author=Zaman M, Shah A, Singal R, Kirmani A, Bhat AR, Singal RP| title=Role of Dual Energy X-ray Absorptiometry (DEXA) Scan in the Diagnosis of Chronic Low Back Pain - a Prospective Randomized Controlled Study in Osteoporotic Patients Hospitalized in a Tertiary Care Institute. | journal=Maedica (Bucur) | year= 2018 | volume= 13 | issue= 2 | pages= 120-124 | pmid=30069238 | doi=10.26574/maedica.2018.13.2.120 | pmc=6060301 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30069238  }} </ref>
*[[Thermography]] may be used to detect the presence or absence of [[nerve]] root compression, especially when the [[sympathetic nerve]]s are involved.<ref name="pmid25098130">{{cite journal| author=Hamaguchi S| title=[The instrument for thermography]. | journal=Masui | year= 2014 | volume= 63 | issue= 7 | pages= 728-36 | pmid=25098130 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25098130  }} </ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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Latest revision as of 17:21, 24 May 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]

Overview

Bone scan, SPECT scan, DEXA scan and thermography may be helpful in identifying the cause of back pain.

Other Imaging Findings

References

  1. Collier BD, Kir KM, Mills BJ, Patel NC, Pochis WT, Onsel C; et al. (1990). "Bone scan: a useful test for evaluating patients with low back pain". Skeletal Radiol. 19 (4): 267–70. doi:10.1007/BF00191669. PMID 2141183.
  2. Dolan AL, Ryan PJ, Arden NK, Stratton R, Wedley JR, Hamann W; et al. (1996). "The value of SPECT scans in identifying back pain likely to benefit from facet joint injection". Br J Rheumatol. 35 (12): 1269–73. doi:10.1093/rheumatology/35.12.1269. PMID 9010055.
  3. Zaman M, Shah A, Singal R, Kirmani A, Bhat AR, Singal RP (2018). "Role of Dual Energy X-ray Absorptiometry (DEXA) Scan in the Diagnosis of Chronic Low Back Pain - a Prospective Randomized Controlled Study in Osteoporotic Patients Hospitalized in a Tertiary Care Institute". Maedica (Bucur). 13 (2): 120–124. doi:10.26574/maedica.2018.13.2.120. PMC 6060301. PMID 30069238.
  4. Hamaguchi S (2014). "[The instrument for thermography]". Masui. 63 (7): 728–36. PMID 25098130.

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