Question

A 45-year-old construction worker presents with acute low back pain after lifting a heavy object. There is no trauma, no neurological deficit, no fever and no history of malignancy. What is the most appropriate initial management?

Accepted Answer

Early mobilisation, reassurance and simple analgesia such as acetaminophen or NSAIDs

Answer

Immediate MRI of the lumbar spine

Answer

Bed rest for 2 weeks

Answer

Referral for urgent spinal surgery

Answer

Long-term opioid therapy from the first visit

Practice question

A 45-year-old construction worker presents with acute low back pain after lifting a heavy object. There is no trauma, no neurological deficit, no fever and no history of malignancy. What is the most appropriate initial management?