45 year old male patient come with the complain of lower back pain that has been bothering

him for the

past 6 months. He reports that the pain started gradually and has become progressively worse over
time. He describes the pain as a dull ache in his lower back, which is exacerbated by prolonged standing
or bending forward. He also mentions occasional numbness and tingling sensations that radiate down
his right leg, particularly when he sits for long periods.

P: 45y patient with lower back

I: physical Therapy management for lower back pain

C: nom surgical intervention for lower back pain

O: reduction in pain intensity

Foreground questions:

1: What is the differential diagnosis for chronic lower back pain with radiating symptoms down the right
leg in a 45-year-old male?

2: What are the recommended initial diagnostic investigations for evaluating chronic lower back pain
with radiculopathy?

Background questions:

1: What are the common causes of chronic lower back pain in adults, particularly in males aged 45
years?

2: What are the risk factors and contributing factors for the development of chronic lower back pain?