Pre1L

Mr. Tom Nguyen, a 51 year old storeman presents with a 7
week history of moderately severe central lower back pain
limiting his capacity to work and undertake sporting activities
such as tennis and lawn bowls. He cannot recall a particular
precipitating event but recalls limited periods of back
discomfort over the years. It is aggravated by physical activity
especially lifting and long car trips. It does not bother him in
bed at night. Associated problems include increased tiredness,
irritability, vague aches in the legs and arms an difficulty coping
with his
work.