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Insertional Achilles tendinopathy — MRCGP AKT MCQ

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HardTendinopathyInsertional Achilles tendinopathyMRCGP AKT

A patient with acute non-specific low-back pain asks whether bed rest will speed recovery. There are no red flags or neurological deficits. What advice should be given?

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Correct answer: D — Continue normal activities as tolerated

The best answer is “Continue normal activities as tolerated”. People with uncomplicated low-back pain should be encouraged to continue normal activities as tolerated and supported to remain or return to work. Prolonged bed rest contributes to deconditioning and delayed recovery. Routine belts, traction and arbitrary long work absence do not improve outcomes.

Reference: NICE NG59: Low back pain and sciatica: https://www.nice.org.uk/guidance/ng59/chapter/Recommendations