A 24-year-old man presents with low back pain for 6 weeks after lifting a heavy box at work. There is no leg weakness, no sphincter disturbance and no...

Question

A 24-year-old man presents with low back pain for 6 weeks after lifting a heavy box at work. There is no leg weakness, no sphincter disturbance and no weight loss. Examination is normal. What is the most appropriate management?

Accepted Answer

Advise early mobilisation, simple analgesia and safety-netting

Answer

Urgent MRI of the whole spine

Answer

Immediate referral to oncology

Answer

Prolonged bed rest for 2 weeks

Answer

Start long-term opioids

uk-plab-1 MCQ (SBA): Mechanical low back pain management

A 24-year-old man presents with low back pain for 6 weeks after lifting a heavy box at work. There is no leg weakness, no sphincter disturbance and no weight loss. Examination is normal. What is the most appropriate management?