A 40-year-old male presents with a one-week history of low back pain without radiation. The symptoms started after he was carrying some luggage. There is no tingling, numbness in the legs, nor any reported weakness. There is minimal spasm in the paravertebral muscles in the lumbo-sacral spine, straight leg raising test is negative and the neurological examination is normal. There are somatic dysfunctions in form of neutral dysfunctions L1-L5 NSleftRright. Which of the following statements is most appropriate?
A. Bed rest for one to two weeks is indicated
B. Imaging studies including X-rays, MRI and bone scan should be ordered immediately
C. Neurodiagnostic studies including an EMG are indicated as the studies of choice
D. NSAIDS and muscle relaxants together with OMM would be appropriate
E. Opioid medications are indicated to be started within one week
Answer: D
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Biomechanics
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