MSFinals-4012

MSFinals-4012

A 28-year-old woman who works in a factory presents with lower back pain. She says that she has had the pain for past two years and that it started gradually. The patient has no past medical history. There is no evidence or history of trauma. Upon examination the patient has normal power in the lower and upper limbs, and sensation is intact. She denies any fever or weight loss and has no significant family history. She is discharged with analgesia.
What is the most appropriate next step?