A 45-years-old female presents with persistent lower back pain. Patient History Presented 3 weeks ago, with acute onset severe pain after lifting a heavy box for which paracetamol and a NSAID were recommended. Her pain improved but not resolved. Her lower back pain is aching in nature and diffuses, it radiates into her left buttock. Sitting for long periods and housework exacerbate her pain.
Otherwise well and has no drug allergies. Physical exam Diffuse tenderness of her lower back No spinal deformity Straight leg raise is normal and no neurological signs. BP 142/88 mmHg, PR 79 and height 170 cm, weight 65 kg. Complete blood count, liver, and renal function tests are normal. Current medication Paracetamol 1 g three times a day Diclofenac 50 mg twice daily for pain Fluoxetine 20 mg daily for depression Based on the clinical information available, What non-drug measures would you…
