What if the pain persists for several weeks after the initial treatment

If the pain still does not resolve, the patient should be provided with reassurance. If not already performed, imaging studies are appropriate. MRI should be interpreted cautiously and correlated with clinical findings. If serious spinal pathology requiring referral to a spine specialist is not identified, supportive treatment is continued. Determine the severity of pain perception and how it interferes physically, psychosocially, and psycho-emotionally with function. Treatment options at this point include active physical therapy, medication, manipulation, and alternative medicine techniques such as acupuncture or yoga.

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