A Patient Has Recurrent Lumbar Pain Which Is Sometimes Severe

A patient has recurrent lumbar pain which is sometimes severe. The patient reports that prescription of nonsteroidal anti-inflammatory drugs (NSAIDs) is no longer effective for pain relief. What will the provider recommend?

A) Adjunctive treatment with physical therapy
B) Beginning treatment with opioid analgesics
C) Complementary and alternative therapies
D) Referral to an interventional spine physician