Acute Back pain ( acute lumbago )  is  a  medico-surgical    kind of  emergency. In present    set  up   of  advanced radiology/ orthopaedic/ surgery / medicine, to manage the patient  according  to  our   guidelines   which   should   be  done  first  on priority basis: First choice:  USG  Abdomen full.

Second choice :  Plain  skiagram  lumbosacral  spine. What  are your  opinions  in present  era  !!!