What is the most appropriate next step in managing

Reference no: EM133635422

Problem: A 68-year-old woman with a past medical history of hypothyroidism and tobacco use disorder presents with chronic low back pain. The pain is localized to her right buttock and has worsened over the last few months. Walking up and down steps, sitting cross-legged, and prolonged sitting or standing exacerbates her symptoms. She takes ibuprofen as needed and recently finished a home exercise program that did not relieve her symptoms. She denies weakness, sensation changes, and incontinence. On examination, her lower limb strength, sensation, and L4, S1 deep tendon reflexes are intact. There is tenderness along the long dorsal ligament on the left. The Gaenslen test and FABER test are positive on the left. What is the most appropriate next step in managing this patient's condition?

Reference no: EM133635422

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