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MediumRheumatologyNon-specific low back painau-racgpau-amc

A 42-year-old man presents with acute low back pain after lifting a heavy box. There is no history of trauma, cancer, weight loss, fevers, neurological deficit or bladder/bowel disturbance. Examination shows localised lumbar tenderness with normal neurology. According to evidence-based guidelines, what is the most appropriate initial management?

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