American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the recommended treatment for subacute nonspecific low back pain?

1. Immediate surgical intervention

2. Massage therapy

3. Long-term bed rest

4. Strong opioid medications

The correct answer is: Massage therapy

The recommended treatment for subacute nonspecific low back pain emphasizes conservative measures, with massage therapy being one of the beneficial options. Current guidelines advocate for non-pharmacological treatments as a first-line approach, which can include physical therapy, exercise, and massage. These interventions focus on promoting movement and reducing pain, ultimately aiding in recovery and restoring function without the potential risks associated with more invasive or pharmacological treatments. Massage therapy can help alleviate muscle tension and improve blood flow, contributing to pain relief and enhancing the healing process. It's important to support patients in staying active rather than immobilizing them or resorting to more drastic measures, such as surgery or long-term use of strong medications. This approach aligns with the understanding that many cases of low back pain resolve on their own with time and appropriate supportive care.