Clinical case review

A 28-year-old kitchen hand with acute low back pain

Hedley Griffiths



Which conditions should be excluded in this patient, and what is the best approach to management?

Article Extract

Case scenario

A 28-year-old female hospital kitchen hand presents to the staff doctor with a one-week history of low back pain. There is no previous history of backache or trauma. Examination reveals tenderness over the sacroiliac joints but no neurological signs. Forward flexion is limited by pain.

What course of action and reassurance can we give to this worker?