The patient’s first visit, to the office, was for lower back pain.

No commas are needed here.

... or was that the question??

To address the patient's lower back pain, the first step is typically for the healthcare provider to conduct a thorough evaluation. This evaluation usually involves a combination of medical history taking, physical examination, and possibly diagnostic tests. Here is an explanation of the process involved in determining the cause of lower back pain during the patient's first visit to the office:

1. Medical History: The healthcare provider will ask the patient about the duration, intensity, and location of the lower back pain. They may inquire about any past injuries, medical conditions, or relevant factors that could contribute to the pain. The medical history helps the provider understand the context and potential causes of the back pain.

2. Physical Examination: The provider will likely perform a physical examination to assess the affected area. This may involve observing the patient's posture, range of motion, and any visible abnormalities. They may also apply pressure or perform maneuvers to test for specific pain patterns or signs of underlying conditions.

3. Diagnostic Tests: Based on the assessment during the physical examination and the information gathered from the medical history, the healthcare provider may order diagnostic tests to further evaluate the lower back pain. Common tests may include X-rays, magnetic resonance imaging (MRI), computed tomography (CT) scans, or blood tests. These tests help identify potential structural issues, nerve involvement, or underlying medical conditions.

4. Diagnosis and Treatment Plan: Once the healthcare provider gathers all the necessary information, they will discuss a diagnosis with the patient. Possible causes of lower back pain can range from muscle strains or sprains to more serious conditions such as herniated discs or spinal stenosis. Depending on the diagnosis, the provider will develop an appropriate treatment plan that may involve conservative measures like rest, pain medication, physical therapy, or further interventions like injections or surgery, if required.

Remember, the exact process may vary depending on the healthcare setting, healthcare provider, and the patient's specific condition. If you are experiencing lower back pain, it is important to consult with a healthcare professional for accurate assessment, diagnosis, and appropriate treatment.