A 42-year-old man presents with acute low back pain after lifting a heavy box. There is no history of trauma, cancer, weight loss, fevers, neurologica...

Question

A 42-year-old man presents with acute low back pain after lifting a heavy box. There is no history of trauma, cancer, weight loss, fevers, neurological deficit or bladder/bowel disturbance. Examination shows localised lumbar tenderness with normal neurology. According to evidence-based guidelines, what is the most appropriate initial management?

Accepted Answer

Simple analgesia and advice to remain active, with reassurance

Answer

Immediate MRI of the lumbar spine

Answer

Prolonged bed rest for 2 weeks

Answer

Strong opioids for all cases

Answer

Urgent neurosurgical referral

au-racgp MCQ (SBA): Non-specific low back pain