Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with sharp, shooting low back pain radiating down the leg in a dermatomal pattern. Worsened by forward flexion, sitting, and coughing (Valsalva). Denies saddle anesthesia or bowel/bladder incontinence.
Clinical Examination Findings
Uncomfortable sitting; prefers standing or shifting weight.
Treatment Protocol
1. NSAIDs + Pregabalin. 2. Avoid lumbar flexion. 3. PT (McKenzie protocol). 4. MRI Lumbar Spine without contrast.