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After then patient gives his account of the problem we then perform a thorough clinical examination and then provisional clinical diagnosis is made. Manny times the problems are naturally self limiting ones which may not require further investigations But some times it is important that further investigations are performed to find out the exact cause for the problem. This helps in managing the problem more efficiently. Basic investigations include plain x-rays of the spine and blood investigations like Hb (Hemoglobin),ESR (Erythrocyte sedimentation rate),Blood cell counts, etc.To further delinate the problem some times investigations like MRI SCAN,CT SCAN, etc are performed .

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