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Doctors Lounge - Orthopedics Answers
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| regnak
- Fri Nov 06, 2009 3:28 pm |
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Thanks in advance for your advice.
A friend of mine was recently diagnosed with a lumbosacral sprain, causing severe but intermittent back and leg pain, radiating down from her lower back to below her left knee. The diagnosis was made without doing an MRI (despite her objections), and I'm just worried that upcoming physical therapy may cause more harm than good if it turns out the diagnosis was incorrect. I know PT is often proscribed for a herniated disc as well as a lumbar sprain, but are there any other possibilities you can think of where PT would not be advisable?
Thanks again!
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| Tom Plamondon PA-C
- Fri Nov 20, 2009 8:14 pm |
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 Hello,
Most acute low back pain resolves itself within 30 days regardless of treatment. Bedrest is not recommended; instead, activity as tolerated.
MRI of the lumbar area would be recommended if the pain radiates into the leg in a nerve root pattern (pattern specific for pinched nerve). Some insurances however do not pay for MRI until PT has been tried first.
Take care.
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