Family Medicine 10: 45-year-old male with low back pain.
A 45-year-old male is presenting with low back pain. The patient’s history should include questions about the onset, duration and location of the pain and other associated symptoms, such as numbness or tingling in the legs. It is essential to determine any activities that may have triggered the pain, any treatments already attempted and if the patient has experienced similar episodes. A physical examination should be conducted to assess for tenderness, muscle spasms, range of motion and neurologic changes. Further testing may be required based on clinical suspicion and findings from the physical exam. Treatment options may include rest, physical therapy, medications or even surgery, depending on the severity of the condition and patient preferences. It is essential to screen for underlying conditions contributing to back pain, such as spinal stenosis, disc herniation and osteoarthritis. Proper management of low back pain can prevent chronicity and disability.
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Educating patients on ways to manage low back pain at home safely is essential, including proper exercise techniques and posture modifications. Patients should avoid activities that aggravate their symptoms, use ice or heat for acute flares, maintain a healthy weight and build strength through physical activity. Encourage patients to follow up with their primary care provider if their condition does not improve or worsens over time. Proper diagnosis and treatment of low back pain will help ensure optimal health outcomes for the patient.