Patient presentation
Chief complaint: Chronic low back pain × 3 years. Worse on prolonged standing. No radiation. No red flags.
History: Office worker. Sedentary 9-10 hours daily. BMI 28. Tried physiotherapy + occasional NSAIDs. MRI: degenerative spine, mild L4-L5 disc dehydration, no compression. No neurology.
Your Assessment (self-test)
Before revealing the answer, write what you think the diagnosis + treatment approach is. Optional but helpful for self-testing.