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Acute lumbar radiculopathy — ABFM Board MCQ

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ModerateMusculoskeletal/Sports medicineAcute lumbar radiculopathyABFM Board

A 57-year-old man has burning pain down the posterior left leg after lifting a heavy box. Straight-leg raise reproduces pain at 40 degrees, strength and reflexes are intact, and there is no bowel or bladder dysfunction. Which of the following is the most appropriate next step?

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Correct answer: A — Activity as tolerated with NSAIDs and follow-up

Acute lumbar radiculopathy without red flags is managed conservatively with activity as tolerated, analgesia such as NSAIDs if safe, and follow-up. Early imaging is reserved for severe or progressive neurologic deficits or red-flag features.

Reference: ACP Low Back Pain Guideline