Case Presentation; Hx · Case Presentation; Hx 34 y/o male A history of intermittent LBP & leg pain...

Case Presentation; Hx 34 y/o male A history of intermittent

LBP & leg pain for 6m Recent severe pain in legs Recent severe pain in legs

especially in walking for 5d

Paresthesis on the Lt 5th

What do you do?

Case Presentation; Ph/Ex

Limited left SLR (<20 deg) No significant muscle weakness Symmetrical DTRSymmetrical DTR Obvious trunk shift clinically

What do you do?

Plain Rx

What do you do?

F/U >6w-3mNSAIDs, AnalgesicsAggressive PTHydrotherapyHydrotherapyModifications in life styleEpidural injection….

Surgery

Case Presentation; Hx

57 y/o male A history of Axial pain

including LBP for 8m

Complained from disability in walking

What do you do?

Case Presentation; Ph/Ex Normal SLR Achilles DTR: Left +1 Right +2 Patellar DTR: Left +2 Right +3Patellar DTR: Left +2 Right +3 Rt BTE: 4/5 Diffuse paresthesis, No clonus ….

What do you do?

Requested Plain Rx

What do you do?

Requested MRI

What do youdo?

40m after operation

Case Presentation; Hx · Case Presentation; Hx 34 y/o male A history of intermittent LBP & leg pain...

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