Question

A 35-year-old man presents with 3 days of low back pain after lifting a heavy object. There is no trauma, fever, weight loss, neurological deficit, bowel or bladder dysfunction or history of cancer. According to Choosing Wisely Canada, what is the most appropriate advice?

Accepted Answer

Advise continued activity as tolerated, simple analgesia and review if red flags develop

Answer

Immediate MRI of the lumbar spine is required

Answer

Plain lumbar X-rays should be ordered urgently

Answer

Strong opioids should be prescribed for at least 2 weeks

Answer

Strict bedrest for 7 days is essential

Practice question

A 35-year-old man presents with 3 days of low back pain after lifting a heavy object. There is no trauma, fever, weight loss, neurological deficit, bowel or bladder dysfunction or history of cancer. According to Choosing Wisely Canada, what is the most appropriate advice?