![]() History and physical examination is very sensitive and specific for making this diagnosis. 3 Triage progresses to include identification of nerve root compression patients. In other words, look for the "needle in the haystack." History and examination alone can reduce the likelihood of malignancy to. 2Īccording to Deyo, the first visit responsibility begins with diagnostic triage to rule out sinister causes of back pain. ![]() A recent study found that 43 percent of patients need reassurance about the absence of serious disease. Fortunately, history and physical examination are sufficient for the vast majority of patients.Īccording to the Mercy guidelines, "The main focus for prevention of complications resulting from chiropractic treatment is the recognition of well-known and established "red flags" signs and symptoms." 1 Diagnostic triage is a necessary first step providing reassurance that no "sinister" diseases are present. Unfortunately, less than 20 percent of the time can relevant pathoanatomy be found, which is correlated with our patients' symptoms. In an attempt to diagnose pathoanatomy, imaging tests are routinely ordered for back pain patients. One of the main problems from a cost-containment standpoint is overutilization of diagnostic testing. ![]() Diagnosis of the Anatomical Site of Pain Generation
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