Volume 18, Issue 4 p. 546-554

LITERATURE REVIEW

Guidelines for the use of diagnostic imaging in musculoskeletal pain conditions affecting the lower back, knee and shoulder: A scoping review

Andrew Cuff,

Corresponding Author

Andrew Cuff

andrewcuff@connecthealth.co.uk

orcid.org/0000-0002-1115-2013

Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK

Connect Health, Newcastle-upon-Tyne, Tyne and Wear, UK

Versus Arthritis Primary Care Centre, School of Primary, Community and Social Care, Keele University, Staffordshire, UK

Correspondence

Andrew Cuff, Consultant Physiotherapist & PhD Candidate, Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Brooks Building, 53 Bonsall Street, Manchester M15 6GX, UK.

Email: andrewcuff@connecthealth.co.uk

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Stephen Parton,

Stephen Parton

Faculty of Medicine and Health Sciences, Keele University, Staffordshire, UK

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Robert Tyer,

Robert Tyer

Connect Health, Newcastle-upon-Tyne, Tyne and Wear, UK

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Lisa Dikomitis,

Lisa Dikomitis

Versus Arthritis Primary Care Centre, School of Primary, Community and Social Care, Keele University, Staffordshire, UK

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Nadine Foster,

Nadine Foster

Versus Arthritis Primary Care Centre, School of Primary, Community and Social Care, Keele University, Staffordshire, UK

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Chris Littlewood,

Chris Littlewood

orcid.org/0000-0002-7703-727X

Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK

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Andrew Cuff,

Corresponding Author

Andrew Cuff

andrewcuff@connecthealth.co.uk

orcid.org/0000-0002-1115-2013

Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK

Connect Health, Newcastle-upon-Tyne, Tyne and Wear, UK

Versus Arthritis Primary Care Centre, School of Primary, Community and Social Care, Keele University, Staffordshire, UK

Correspondence

Andrew Cuff, Consultant Physiotherapist & PhD Candidate, Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Brooks Building, 53 Bonsall Street, Manchester M15 6GX, UK.

Email: andrewcuff@connecthealth.co.uk

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Stephen Parton,

Stephen Parton

Faculty of Medicine and Health Sciences, Keele University, Staffordshire, UK

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Robert Tyer,

Robert Tyer

Connect Health, Newcastle-upon-Tyne, Tyne and Wear, UK

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Lisa Dikomitis,

Lisa Dikomitis

Versus Arthritis Primary Care Centre, School of Primary, Community and Social Care, Keele University, Staffordshire, UK

Search for more papers by this author

Nadine Foster,

Nadine Foster

Versus Arthritis Primary Care Centre, School of Primary, Community and Social Care, Keele University, Staffordshire, UK

Search for more papers by this author

Chris Littlewood,

Chris Littlewood

orcid.org/0000-0002-7703-727X

Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK

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First published: 04 August 2020

https://doi.org/10.1002/msc.1497

Citations: 9

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Abstract

Background

Musculoskeletal (MSK) pain is one of the most common reasons for primary care consultation, particularly pain in the lower back (LBP), knee and shoulder. The use of diagnostic imaging for MSK pain is increasing, but it is unclear whether this increase is justified on the basis of clinical practice guideline (CPG) recommendations.

Aim

To identify and map the content of CPGs that informs the use of diagnostic imaging in those with nontraumatic LBP, knee and shoulder pain in primary and intermediate care in the UK.

Design and Setting

A scoping review of CPGs.

Methods

This scoping review was conducted and is reported in accordance with PRISMA guidance. A broad search strategy included electronic searches of MEDLINE, CINAHL, PsychINFO and SPORTDiscus from 2009 to 17 April 2019. This was conducted alongside a search of guideline repositories and was combined with a snowball search of Google, relevant professional bodies and use of social media.

Results

31 relevant CPGs were included. Routine use of diagnostic imaging for those with nontraumatic LBP, knee or shoulder pain is generally discouraged in primary care or intermediate care. Diagnostic imaging should be reserved for when specific or serious pathology is suspected or where the person is not responding to initial nonsurgical management and the imaging result is expected to change clinical management decisions.

Conclusion

Diagnostic imaging should not be routinely requested in primary or intermediate care for nontraumatic LBP, knee or shoulder pain. CPGs do not justify the increasing imaging rates in the UK for MSK pain.

Supporting Information

Filename

Description

msc1497-sup-0001-Supplementary_File.pdfPDF document, 367.8 KB

Table S1. Search terms – LBP (Medline)

Table S2. Search terms – LBP (CINAHL)

Table S3. Search – LBP (PsycINFO)

Table S4. Search terms – LBP (SPORTDiscus)

Table S5. Search terms – Knee (Medline)

Table S6. Search terms – Knee (CINAHL)

Table S7. Search terms – Knee (PsycINFO)

Table S8. Search terms – Knee (SPORTDiscus)

Table S9. Search terms – Shoulder (Medline)

Table S10. Search terms – Shoulder (CINAHL)

Table S11. Search terms – Shoulder (PsycINFO)

Table S12. Search terms – Shoulder (SPORTDiscus)

Table S13: Search terms – NICE (LBP)

Table S14: Search terms – NICE (Knee)

Table S15: Search terms – NICE (Shoulder)

Table S16: Search terms – GIN (LBP)

Table S17: Search terms – GIN (Knee)

Table S18: Search terms – GIN (Shoulder)

Table S19: Search terms – Guidelines (LBP)

Table S20: Search terms – Guidelines (Knee)

Table S21: Search terms – Guidelines (Shoulder)Table S22: This table outlines the search terms used within the ‘snowball’ search. Each term was entered separately into Google with the top 50 results assessed.

Table S22: This table outlines the search terms used within the ‘snowball’ search. Each term was entered separately into Google with the top 50 results assessed.

Table S23: A data charting table of recommendations from Clinical Practice Guidelines that inform MSK/Orthopaedic clinical practice in the UK on the use of diagnostic imaging in those with Low Back Pain (LBP).

Table S24: A data charting table of recommendations from Clinical Practice Guidelines that inform MSK/Orthopaedic clinical practice in the UK on the use of diagnostic imaging in those with Knee Pain.

Table S25: A data charting table of recommendations from Clinical Practice Guidelines that inform MSK/Orthopaedic clinical practice in the UK on the use of diagnostic imaging in those with Shoulder pain.

Table S26: A data charting table of recommendations from Clinical Practice Guidelines that inform MSK/Orthopaedic clinical practice in the UK on the use of diagnostic imaging in those with regional conditions that may present as Low Back Pain, Knee or Shoulder Pain.

Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.

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Volume18, Issue4

December 2020

Pages 546-554

Guidelines for the use of diagnostic imaging in musculoskeletal pain conditions affecting the lower back, knee and shoulder: A scoping review

Abstract

Background

Aim

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Guidelines for the use of diagnostic imaging in musculoskeletal pain conditions affecting the lower back, knee and shoulder: A scoping review

Abstract

Background

Aim

Design and Setting

Methods

Results

Conclusion

Supporting Information

REFERENCES

Citing Literature

References

Related

Information