tina is a 52-year-old male who presents to the primary care clinic with complaints of
low back pain. He reports that the pain started a few weeks ago and has been gradually
worsening. He describes the pain as a constant ache that is present in his lower back
and sometimes radiates down his right leg. The pain is worse with standing and walking
and isrelieved when he lies down. The patient reports no history of trauma or injury to
the back,and he denies any weakness or numbness in his legs. He has tried over-thecounter
pain medication, which provides some relief, but the pain persists
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