Patient Education: Reassurance. Encourage his return to work, instruct that he does not have to be totally pain-free.
Activity Modification: Review details of exercise, determine if quotas are realistic, check upon the adequacy of physiotherapy (if ordered). Review work modification.
Medication: Acetaminophen 1,000 mg., 4 times a day.
Return visit: Referral to a surgeon, discuss special investigations, continue to monitor.
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