Low Back Pain

Question 1

A healthy 47-year-old female presents with a 3-day history of moderately severe low back pain after attempting to lift a heavy container of potting soil in her garden.
She has no history of back problems.
Her pain is in the right lower back with radiation to the buttock. She denies urinary or bowel incontinence, urinary retention, and numbness or tingling.
A physical examination confirms low back muscular strain.
Which one of the following interventions has been shown to be beneficial in this situation?

A) Bed rest
B) Massage therapy
C) Lumbar traction
D) Prednisone
E) Cyclobenzaprine (Flexeril)

Answer 1

BENEFICIAL THERAPIES FOR ACUTE LBP:

NSAIDs (SOR A)
Remaining Active (SOR A)
Muscle relaxants (SOR B)

Epidural steroid injections for discogenic pain
or physical therapy is also likely to be beneficial