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EasyRheumatologyAcute Nonspecific Low Back Painus-abfmus-abimus-usmle-step-2

A 30-year-old man presents with acute onset of severe low back pain after lifting a heavy box. The pain does not radiate below the knee. He denies weakness, saddle anesthesia, bowel or bladder dysfunction, weight loss, fever, or trauma. Neurologic exam is normal, and straight-leg raise test is negative. What is the most appropriate initial management?

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