usmle6789
Forum Senior
Topics: 33
Posts: 49
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30 yr old man increasingly severe low back pain since lifting a heavy object at work 3 days ago. The pain does not radiate and is not associated with bowel or bladder problems. He has a history of occasional stiffness and mild pain in his lower back. There is bilateral Para vertebral muscle tenderness in the lumbar region and limited flexion of the lumbosacral spine. Examination of the lower extremities showed normal muscle strength and sensation. SLR negative bilaterally. deep tendon reflexes at the knees and ankles are normal. Most appropriate next step in the management/
1] Exercise to strengthen abdominal muscles
2] Exercise to strengthen Para vertebral muscles
3] Bed rest for 5-7 days
4] Use of a muscle relaxant
5] Use of a NSAID
Confused between 4 and 5 options.
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| ELM
Forum Guru
Topics: 28
Posts: 936
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I will go with 5 first.
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ELM
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