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Perhaps
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Topics: 61
Posts: 162
08/15/06 - 11:19 AM       #1

A 30-year-old man has had 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 paravertebral muscle tenderness in the lumbar region and limited flexion of the lumbosacral spine. Examination of the lower extremities shows normal muscle strength and sensation; straight-leg raising is negative bilaterally. Deep tendon reflexes at the knees and ankles are normal. Which of the following is the most appropriate next step in management?
A) Exercises to strengthen abdominal muscles
B) Exercises to strengthen paravertebral muscles
C) Bed rest for 5 to 7 days
D) Use of a muscle relaxant
E) Use of a nonsteroidal anti-inflammatory drug




shumaila
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Topics: 58
Posts: 347
08/15/06 - 01:41 PM       #2

e

frank100
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Topics: 48
Posts: 586
08/15/06 - 01:44 PM       #3

(e). 3 days with backache deserve treatment and bedrest also. but a lumbar X-ray would make any insurance company feel better.

raghavesh_p
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Topics: 6
Posts: 17
03/30/07 - 10:40 PM       #4

why cant be just D

dr.wad
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Topics: 3
Posts: 350
03/31/07 - 07:29 AM       #5

E









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