26th May 2025

A 27-year-old male presents with a 8-month history of back stiffness and pain, which he describes as being worse first thing in the morning, improving with exercise.

A 27-year-old male presents with a 8-month history of back stiffness and pain, which he describes as being worse first thing in the morning, improving with exercise. He occasionally takes naproxen for the pain, which helps. He is otherwise fit and well but feels that the back pain is greatly affecting his mobility. 

Which of the following findings are least likely to be seen on examination of this man?

Select the SINGLE most appropriate option from the list below. Select ONE option only.