A 35-year-old man presents with acute low back pain after lifting - TopicsExpress

A 35-year-old man presents with acute low back pain after lifting a couch in his home. Pain is in the lumbosacral area and increases with walking and bending. Examination reveals paraspinal muscle spasm and tenderness and negative straight leg raise bilaterally. Lower extremity strength is intact. Which of the following is the best next step in managing this patient? (A) bed rest for 1 week (B) referral to an orthopedic specialist (C) x-ray of lumbosacral spine (D) treatment with anti-inflammatory medication and gradual return to normal activity (E) referral to a pain clinic

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