Case Presentation; Hx · Case Presentation; Hx 34 y/o male A history of intermittent LBP & leg pain...
Transcript of Case Presentation; Hx · Case Presentation; Hx 34 y/o male A history of intermittent LBP & leg pain...
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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
toe
What do you do?
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Case Presentation; Ph/Ex
Limited left SLR (<20 deg) No significant muscle weakness Symmetrical DTRSymmetrical DTR Obvious trunk shift clinically
What do you do?
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Plain Rx
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MRI
What do you do?
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F/U >6w-3mNSAIDs, AnalgesicsAggressive PTHydrotherapyHydrotherapyModifications in life styleEpidural injection….
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Surgery
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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?
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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?
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Requested Plain Rx
What do you do?
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Requested MRI
What do youdo?
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40m after operation
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