PT - JOURNAL ARTICLE AU - Mazanec, Daniel J. TI - Back pain: medical evaluation and therapy DP - 1995 May 01 TA - Cleveland Clinic Journal of Medicine PG - 163--168 VI - 62 IP - 3 4099 - http://www.ccjm.org/content/62/3/163.short 4100 - http://www.ccjm.org/content/62/3/163.full SO - Cleve Clin J Med1995 May 01; 62 AB - SUMMARY Most patients with acute low back pain or sciatica improve with appropriate conservative therapy, and most require no immediate diagnostic studies beyond a careful history and examination. □ In patients with "red flags" for visceral, malignant, or infectious causes or possible cauda equina syndrome, a more aggressive evaluation is mandatory. □ In patients whose pain does not respond to initial management or who have chronic symptoms, diagnostic reevaluation is appropriate.