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Practitioners

To learn more about guidelines for the care of patients with musculoskeletal disorders, and resources for practitioners, see below.

Clinical Practice Guidelines contain evidence-based recommendations based on best available evidence at the time of publication. Healthcare professionals are encouraged to review recent high quality studies to further guide clinical decisions where appropriate and consult the licensing or regulatory body in their jurisdiction for any additional requirements or practice standards that may apply.  

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Managing adult lower extremities disorders

Lower extremities disorders

Additional recommendations

Advice for practitioners considering the use of diagnostic imaging for lower extremity disorders

• History taking and physical examination should be used to exclude red flags and serious injuries (fracture and/or dislocation).

• Physical examination is important for neurologic screening.

• These guidelines may assist with diagnostic triage (extremity pain with or without restriction of activity of daily living or presence of red flags).

• Radiographs are not initially indicated for non-specific hip, knee, ankle and foot pain.

• Consider conventional radiography after blunt trauma, and if there is no improvement after 4 weeks of conservative care or increasing disability.

• Consider conventional radiography and specialized imaging in the presence of red flags.

(see: Diagnostic Imaging Practice Guidelines for Musculoskeletal Complaints in Adults - An Evidence-Based Approach. Part 1: Lower Extremity Disorders. Bussières et al, 2007)

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