title: Evaluation and treatment of acute back pain in the emergency department.
abstract: Back pain is a common presenting complaint to the emergency department. The key to proper evaluation is a history and physical examination focused on determining if any red flags for serious disease are present. If no red flags are present, the patient most likely has nonspecific back pain and their symptoms will resolve in 4 to 6 weeks. No diagnostic testing is required. For patients with red flags, a focused history and examination in conjunction with diagnostic laboratory tests and imaging determine whether the patient has an emergent condition such as herniated disc, epidural compression, or spinal infection.
authors.affiliation: Emergency Medicine, Yale School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519-1315, USA. Electronic address: david.della-giustina@yale.edu.
authors.forename: David
authors.initials: D
authors.lastname: Della-Giustina
mesh_terms: D000208:Acute Disease; D001416:Back Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D006801:Humans; D008487:Medical History Taking; D009369:Neoplasms / Q000150:complications; D012307:Risk Factors; D013122:Spinal Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
keywords: Back pain; Epidural abscess; Epidural compression; Herniated disc; Vertebral osteomyelitis