A 76-Year-Old Man Comes to the Office with a 2-Month

A 76-year-old man comes to the office with a 2-month history of progressive low back pain.  The pain is relatively constant and nagging and is unrelieved by rest or position changes.  It is especially bad at night and interferes with sleep.  The patient has taken acetaminophen and ibuprofen without relief.  Medical history is significant for hypertension and osteoarthritis affecting the knees and hands.  The patient used intravenous drugs occasionally when he was younger but not for >30 years.  Which of the following processes is most likely responsible for this patient's back pain?

A) Degenerative
B) Infectious
C) Inflammatory
D) Neoplastic
E) Psychogenic

Correct Answer:

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