A 58-year-old man presents with new-onset low back pain after lifting. He has no neurological deficits, fever, weight loss or history of cancer. Accor...

Question

A 58-year-old man presents with new-onset low back pain after lifting. He has no neurological deficits, fever, weight loss or history of cancer. According to Choosing Wisely Canada, what is the best initial management?

Accepted Answer

Provide advice to stay active, trial of simple analgesics, and delay imaging unless red flags develop

Answer

Order immediate lumbar MRI

Answer

Prescribe strict bed rest for 2 weeks

Answer

Order CT scan of the spine

Answer

Start long-term opioids for pain control

ca-mccqe1 MCQ (SBA): Acute low back pain without red flags

A 58-year-old man presents with new-onset low back pain after lifting. He has no neurological deficits, fever, weight loss or history of cancer. According to Choosing Wisely Canada, what is the best initial management?