Dx (Diagnosis)

When a medical professional fills out a report, he or she will routinely abbreviate terms. Among the most common abbreviations used is Dx, which is shorthand for diagnosis. Other frequently used abbreviations include Tx (treatment), Fx (fracture), Sx (symptoms), Hx (history) and Rx (prescription). The use of “x,” followed by the first letter of the terms is more expedient for busy healthcare providers, who often fill out dozens of forms each day.

Tools Used for Dx of Spinal Issues

When diagnosing back or neck pain, a doctor will begin by asking questions about the severity, location, and duration of the symptoms. A physical exam and neurological exam will follow. In addition, several other tests are available to provide a more-detailed Dx, including:

• MRI – magnetic resonance imaging produces clear pictures of the interior of the body without the use of X-ray.
• CT scan – computed tomography uses computers and X-ray to produce an image of a cross-section of the body.
• Discography – a contrast dye is injected into an intervertebral disc that is believed to be causing back or neck pain. The dye distinguishes damaged areas from healthy areas of the disc, which can be seen on an X-ray.
• Myelogram – similar to a discography, contrast dye is used to detect damaged tissue within other portions of the spine in addition to the discs.
• Bone scan – radioactive material is injected into the body and collects in the bones, especially in areas affected by an abnormality.
• EMG – in electromyography, muscle activity is monitored by very fine needles that measure response to brain signals.

Treatment for Back or Neck Pain

If the Dx reveals spinal nerve compression is responsible for symptoms including pain, tingling, numbness, or muscle weakness, treatment using pain medication, exercise, or physical therapy usually is attempted first. If conservative treatment proves ineffective, decompression surgery may be recommended. If so, contact Laser Spine Institute to learn about minimally invasive, outpatient procedures that have helped tens of thousands of patients rediscover their lives without back and neck pain.