Question

A 50-year-old man presents with severe low back pain radiating to his left leg. He has no red-flag symptoms, no neurological deficit and is systemically well. This is his first episode. What is the most appropriate initial management?

Accepted Answer

Prescribe simple analgesia, advise staying active and review if red flags develop

Answer

Immediate MRI spine

Answer

Refer urgently to orthopaedic surgeon

Answer

Prescribe long-term opioids as first-line

Answer

Advise bed rest for 2 weeks

Practice question

A 50-year-old man presents with severe low back pain radiating to his left leg. He has no red-flag symptoms, no neurological deficit and is systemically well. This is his first episode. What is the most appropriate initial management?