Question

A 40-year-old office worker presents with 4 weeks of low back pain radiating to the left buttock, without red flags. Neurological examination is normal. Which management approach is most appropriate in the first instance?

Accepted Answer

Early mobilisation, simple analgesia and reassurance

Answer

Absolute bed rest for two weeks

Answer

Immediate MRI and neurosurgical referral

Answer

High-dose opioids for pain control

Answer

Spinal manipulation only

Practice question

A 40-year-old office worker presents with 4 weeks of low back pain radiating to the left buttock, without red flags. Neurological examination is normal. Which management approach is most appropriate in the first instance?