Back Pain Back Pain Treatment and Management

Question 1

What is the recommended first-line treatment for acute non-specific low back pain according to US clinical guidelines?

Accepted Answer

Staying active and non-pharmacological care

Answer

Opioid analgesics

Answer

Bed rest for 7 days

Answer

Immediate MRI and surgery referral

Question 2

Which class of medication is recommended as first-line pharmacological treatment for acute back pain when needed?

Accepted Answer

NSAIDs

Answer

Opioids

Answer

Muscle relaxants

Answer

Gabapentinoids

Question 3

McKenzie Method (Mechanical Diagnosis and Therapy) for back pain is primarily based on which concept?

Accepted Answer

Directional preference and centralization of pain

Answer

Core strengthening exercises

Answer

Stretching the hamstrings and hip flexors

Answer

Manual spinal manipulation

Question 4

At which stage of disc herniation recovery is spinal surgery (discectomy) typically indicated?

Accepted Answer

After 4-6 weeks of failed conservative care with progressive neurological deficit

Answer

Within the first 2 weeks of pain onset

Answer

Immediately when an MRI shows herniation

Answer

After 1 year of pain

Question 5

Which type of injection is used to deliver corticosteroids near an irritated spinal nerve root?

Accepted Answer

Epidural steroid injection

Answer

Trigger point injection

Answer

Prolotherapy

Answer

Facet joint injection

Question 6

Cognitive Behavioral Therapy (CBT) for back pain primarily targets which aspect of the condition?

Accepted Answer

Pain catastrophizing and avoidance behaviors

Answer

Structural spinal abnormalities

Answer

Muscle strength deficits

Answer

Inflammation reduction