A 45-year-old female presents with acute onset of localized…
Questions
A 45-yeаr-оld femаle presents with аcute оnset оf localized lumbar paraspinal muscle pain and spasm after lifting a heavy box 3 days ago. She denies radiation of pain, weakness, bowel or bladder dysfunction. Physical examination reveals focal muscle tenderness and palpable spasm in the lower back without neurologic deficits. Her past medical history includes well-controlled hypertension and iron deficiency anemia. Liver function tests are normal. She requests medication to relieve the muscle tightness so she can sleep. Which of the following is the most appropriate pharmacologic therapy for short-term management of this patient’s localized muscle spasm?