A 52-year-old man with chronic low back pain and no red flags requests strong opioids. He has tried simple analgesia and basic physiotherapy but has n...

Question

A 52-year-old man with chronic low back pain and no red flags requests strong opioids. He has tried simple analgesia and basic physiotherapy but has not engaged in ongoing exercise or multidisciplinary care. According to Australian chronic pain guidance, what is the most appropriate management?

Accepted Answer

Refer for multidisciplinary pain management including exercise and psychological strategies

Answer

Start sustained-release morphine for long-term use

Answer

Order immediate spinal MRI and neurosurgical review

Answer

Prescribe benzodiazepines for muscle relaxation

Answer

Advise complete bed rest for two weeks

au-racgp MCQ (SBA): Chronic low back pain

A 52-year-old man with chronic low back pain and no red flags requests strong opioids. He has tried simple analgesia and basic physiotherapy but has not engaged in ongoing exercise or multidisciplinary care. According to Australian chronic pain guidance, what is the most appropriate management?