Chronic Back Strain or Sprain Evaluation
The evaluation of chronic back strain or sprain begins with a medical history and physical exam.
Physical findings in someone with an injury to the bones, muscles, ligaments and tendons include:
Physical findings in someone with an injury to the nerves include:
- Muscle weakness
- Numbness of the groin
- Numbness of the buttock
- Numbness of the leg (unilateral)
- Numbness of the legs (bilateral)
- Poor or diminished deep tendon reflexes
Minor back strains and sprains do not require additional tests; however, more serious injuries may require additional testing.
Tests that may be used to evaluate chronic back strain or sprain include:
Chronic Back Strain or Sprain Similar Conditions
Conditions that may cause symptoms similar to a chronic back strain or sprain include:
Continue to Chronic Back Strain or Sprain Treatment
- Athanasou JA. Return to work following whiplash and back injury: a review and evaluation. Med Leg J. 2005;73(Pt 1):29-33. 
- Coste J, Delecoeuillerie G, et al: Clinical course and prognostic factors in acute low back pain: an inception cohort study in primary care practice. BMJ 1994 Feb 26; 308(6928): 577-80. 
- Hayden J, Tulder M, Malmivaara A, Koes B. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005 Jul 20;(3):CD000335. 
- King HA. Back pain in children. Orthop Clin North Am. 1999 Jul;30(3):467-74, ix. 
- Marriott A, Newman NM, et al: Improving the evaluation of benign low back pain. Spine 1999 May 15; 24(10): 952-60. 
- Smith D, McMurray N, Disler P. Early intervention for acute back injury: can we finally develop an evidence-based approach? Clin Rehabil. 2002 Feb;16(1):1-11. 
- van Tulder MW, Koes BW, Bouter LM: Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine 1997 Sep 15; 22(18): 2128-56. 
- Wassell JT, Gardner LI, Landsittel DP, Johnston JJ, Johnston JM. A prospective study of back belts for prevention of back pain and injury. JAMA. 2000 Dec 6;284(21):2727-32.