What is the purpose of a physical examination in back pain assessment?

A physical examination in back pain assessment serves to identify the location of pain and assess functional limitations, which is crucial in formulating an effective treatment plan. During the examination, practitioners evaluate the patient’s range of motion, strength, and the specific area of discomfort, allowing for a more comprehensive understanding of the condition. This information helps in determining the nature of the back pain, whether it is due to muscular, skeletal, or neurological issues, guiding the subsequent steps in management.

While medication prescription, surgical assessments, and the need for diagnostic imaging are important aspects of back pain management, they are not the primary focus of the physical examination itself. The physical exam lays the groundwork by providing essential insights that inform these later decisions, ensuring that any treatment prescribed is tailored to the patient’s specific needs and conditions.