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Pain

Sheehan NJ.

Edith Cavell Hospital, Peterborough, UK.

 Ann Rheum Dis 2010;69:7–11.

Editor’s note: Magnetic resonance imaging (MRI) of the lumbar spine is a sensitive method for examining both bones and soft tissues. However, asymptomatic abnormalities of dubious clinical relevance are common in the lumbar spine, particularly in older patients. Disc degeneration or asymptomatic bulging is almost universal in asymptomatic individuals aged >60 years. There are published guidelines for the use of spinal MRI, which particularly focus on the diagnosis of conditions such as nerve root entrapment and cauda equina syndrome (Rofo 2007;179:914–24, Ann Intern Med 2007;147:478–91). It is widely accepted that use of MRI to investigate simple low back pain in primary care is ineffective.

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