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EasyRheumatologyAcute low back pain with radiculopathyau-amcau-racgp

A 35-year-old man presents with acute onset severe central low back pain after lifting a heavy object. He has unilateral leg pain radiating below the knee and a positive straight leg raise test, but no red-flag features such as cauda equina symptoms, weight loss or fever. Neurological examination is otherwise normal. What is the most appropriate initial management?

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