34M with 2 months of intermittent low back pain after moving house. No radiation, no red flags. Improves with rest and NSAIDs.

Ambulating normally. Lumbar paraspinal tenderness bilaterally. Straight-leg raise negative. Neurovascular intact.

Mechanical low back pain, improving.

Continue ibuprofen PRN. Core strengthening exercises — handout given. Return if red flags. Reassess in 4 weeks.