Question

New-onset back pain after shoveling - left paraspinal muscle spasm, negative straight leg raise, reflexes symmetric, no weakness, no sensory deficit. Management:

Answer 1

The management for new-onset back pain after shoveling typically involves rest, ice or heat therapy, pain medications, and gentle stretching exercises.

Step-by-step explanation:

In this case, the patient is experiencing new-onset back pain after shoveling. Based on the symptoms described, it is likely that the patient is suffering from a muscle strain or sprain in the left paraspinal muscle.

The negative straight leg raise test, symmetric reflexes, absence of weakness, and sensory deficit suggest that there is no involvement of the spinal nerves or discs.

The initial management for this condition typically involves rest, ice or heat therapy, over-the-counter pain medications, and gentle stretching exercises.