Patient presents with complaints of lower back pain (LBP).  Onset of pain is reported as [Onset - e.g., gradual, acute, traumatic].  Pain quality is described as [Pain Quality - e.g., sharp, dull, aching, burning, radiating].  Pain intensity is reported as [Pain Scale Rating - e.g.,  4/10 on a numerical rating scale].  The location of the pain is specified as [Location - e.g., lumbar spine, lumbosacral region, radiating to buttock/leg].  Aggravating factors include [Aggravating Factors - e.g., bending, lifting, prolonged sitting, standing].  Alleviating factors include [Alleviating Factors - e.g., rest, ice, heat, over-the-counter pain medication].  Patient denies [Pertinent Negatives - e.g., bowel or bladder incontinence, saddle anesthesia].  Physical examination reveals [Objective Findings - e.g., tenderness to palpation in the lumbar paraspinal muscles, limited range of motion in lumbar flexion and extension, positive straight leg raise test on the [Right/Left/Bilateral] side].  Neurological examination of the lower extremities is [Neurological Exam Findings - e.g., intact, reveals diminished reflexes in [Reflex], decreased sensation in [Dermatome]].  Differential diagnoses include lumbar strain, lumbar sprain, herniated disc, spinal stenosis, degenerative disc disease.  Assessment: Lower back pain.  Plan:  Conservative management is initiated, including [Treatment Plan - e.g., rest, ice, heat therapy, NSAIDs, physical therapy referral].  Patient education provided regarding proper body mechanics, lifting techniques, and pain management strategies.  Follow-up scheduled in [Duration - e.g., one week, two weeks] to assess response to treatment.  Further investigations may include [Diagnostic Studies if indicated - e.g., lumbar X-ray, MRI] if symptoms persist or worsen.  ICD-10 code: [ICD-10 Code - e.g., M54.5].