The main investigation is an X-ray, which may exclude the basic abnormalities and diseases such as osteoporosis and malignancy. If serious diseases such as malignancy or infection are suspected, and the plain X-ray is normal, a radionuclide bone scan may detect these disorders. Other investigations to consider are:

• full blood examination and ESR

• serum alkaline phosphatase

• serum electrophoresis for multiple myeloma

• Bence-Jones protein analysis

• brucella agglutination test

• blood culture for pyogenic infection and bacterial endocarditis

• tuberculosis studies

• HLA-B27 antigen for spondyloarthropathies

• ECG or ECG stress tests (suspected angina)

• gastroscopy or barium studies (peptic ulcer)

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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