Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic low back pain associated with neurogenic claudication. Symptoms are exacerbated by standing and walking, and relieved by sitting or leaning forward (shopping cart sign). No history of bowel or bladder incontinence.
Clinical Examination Findings
Patient is alert and oriented, in no acute distress. Appears comfortable while seated but exhibits guarded posture during transition to standing.
Treatment Protocol
Conservative management initiated: physical therapy, NSAIDs, and activity modification. Epidural steroid injection (ESI) discussed as a secondary option. Surgical decompression considered if conservative measures fail.