Do this right...and tell why? - for2011

[ArchivalUser]

A 48-yo man comes to the physician because of a 2-day history of severe low back pain. He states that he has had periodic low back pain for years, but this is more severe than usual and radiates to the buttock and down the right leg. his temperature is 36.8C. Examination shows some rigidity of the lumbar spine. the pain is exacerbated by applying pressure on the paravertebral region in the lower lumbar spine and by passively raising the leg at 45degrees while the patient lies supine. A reduced Achilles tendon reflex is noted. which of the following is the most appropriate next step in management?
A. MRI examination of the vertebral column
B. NSAIDs and 2 days of bed rest.
C. Plain X-ray examination of the lumbosacral spine
D. Radionuclide bone scanning
E. Surgical consultation

[ArchivalUser]

B.-

[ArchivalUser]

looks like lumbar disc herniation pain radiating, achilles, straight leg raising)
thus B ?

i forgot the place of MRI in lumbar disc herniation management

pls someone build on this

[ArchivalUser]

in lumbar disc herniation we do MRI after initial treatment do not improve patient problem

[ArchivalUser]

thanks gunny... got it

[ArchivalUser]

thanks a lot for ur put in, gunny, iodm and drpersist.