A 28-year-outdated kitchen hand with acute low back pain Which conditions should be excluded in this patient, and what’s the best method of management? Case scenario A 28-year-old female hospital kitchen hands presents to the personnel doctor with a one-week history of low back pain. There is absolutely no previous history of trauma or backache. Examination reveals tenderness over the sacroiliac joints but no neurological signs. Forward flexion is bound by pain. What course of reassurance and action can we give to this worker?ALK immunohistochemical evaluation was also negative, and FISH studies did not reveal a rearranged ALK gene . Following the patient had recovered from surgery, in 2008 February, treatment with prednisone and ibuprofen was started.18 He previously increasing abdominal pain, and progressive disease was documented on imaging. In July 2008, after meeting eligibility criteria and providing written educated consent, the patient began to receive crizotinib at a dose of 250 mg twice daily.