*A 55-year-old male patient presents with back and abdominal pain and finds it difficult to sit up straight. The pain is reproduced at 85 degrees in the Straight Leg Raise. An x-ray of his abdomen showed curvilinear calcifications anterior to the 1st to the 4th lumbar vertebrae.*

*Which might be the appropriate management?*

O Defer chiropractic care

O NCV

O Refer to the ER urgently

O Diagnostic Ultrasound

O Recommend omega 3 supplements

O Adjust with an instrument

O Refer to a vascular specialist

O Refer to an orthopedist

O Adjust using a HVLA thrust