Clinical Presentation & Protocol
Patient Usually Complains Of
Acute exacerbation of severe low back pain radiating down the leg in a distinct dermatomal pattern. Pain is lancinating/electric. Exacerbated by sitting, forward flexion, and coughing/sneezing. Denies saddle anesthesia or bowel/bladder incontinence.
Clinical Examination Findings
Patient cannot sit still, constantly shifting weight to relieve nerve tension.
Treatment Protocol
1. Pregabalin 75mg BID + Etoricoxib 90mg daily. 2. Muscle relaxant (Eperisone) at night. 3. PT: McKenzie extension protocols. 4. Strict avoidance of lumbar flexion. 5. Ordered MRI Lumbar Spine without contrast.