skip to main content

Mechanical low back pain — MRCGP AKT MCQ

Instant feedback + full explanation. One question, done properly.

HardSpineMechanical low back painMRCGP AKT

A weightlifter has recurrent mechanical low back pain linked to poor lifting technique, with no radicular symptoms or red flags. Which plan is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Graded activity plus technique-focused exercise rehabilitation

The best answer is “Graded activity plus technique-focused exercise rehabilitation”. For uncomplicated mechanical low back pain, people are encouraged to continue normal activity and use an exercise-based programme tailored to needs and capability. Technique and gradual load progression address the provoking task. Routine imaging, prolonged rest, traction and long-term opioids do not improve this presentation and may worsen disability.

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