The RCGP - Clinical and Special Projects, Clinical Guidelines, Acute Low Back Pain. Contents, Index page


Chapter 3

Principal Recommendations
Linked to Evidence

Diagnostic Triage
Use of X-Rays
Drug Therapy
Bed Rest
Advice on Staying Active
Back Exercises



Use of x-rays


Recommendations Evidence

Use of x-rays

There is no indication for routine X-rays in acute LBP of less than 6 weeks in the absence of clinical red flags.

Unnecessary or repeated X-rays should be avoided.

Royal College of Radiologists recommendations.
Lumbar spine X-rays involve 150 times the radiation dose of a chest X-ray.
Back Pain Contents