Question

A 32-year-old man presents with a 6-week history of low back pain. It is worse at night, improves with exercise and is associated with early morning stiffness lasting more than 30 minutes. He has limited forward flexion of the lumbar spine. What is the most likely diagnosis?

Accepted Answer

Ankylosing spondylitis

Answer

Mechanical low back pain

Answer

Lumbar disc prolapse

Answer

Metastatic spinal disease

Answer

Osteoporotic vertebral fracture

Practice question

A 32-year-old man presents with a 6-week history of low back pain. It is worse at night, improves with exercise and is associated with early morning stiffness lasting more than 30 minutes. He has limited forward flexion of the lumbar spine. What is the most likely diagnosis?