Presentation: 30 y/o female presented with a 4 day history of progressively worsening acute central low back pain and right sided leg pain. The leg pain was described as an intense sharp, burning sensation started in the spine and travelled down the posterolateral thigh into calf. Her symptoms began after finishing her shift as a kitchen-hand which involved performing repetitive lifting and twisting movements while carrying a heavy load. She has had difficulty finding a comfortable position to sleep in and performing normal activities of daily living. Examination: Postural analysis; towering right antalgic posture with a short shuffling gait Lumbar range of motion; Flexion = 15 deg. Extension = 0 – 5 deg. Right lateral flexion = 5 deg. Left lateral flexion = 5 deg. Right rotation = 0 – 5 deg. Left rotation = 0 – 5 deg. Cough/Valsalva; positive (back and leg pain) Slump; positive (back and leg pain) Straight leg raise; Right = positive 30 deg. Left = positive at 55 deg. Palpation; sensitivity and restriction at L4/5 and L5/S1 Neurological examination; patella and achilles reflexes intact however subdued bilaterally. Muscle strength good bilaterally. Sensory testing unremarkable. Vascular Testing; Hautant’s/Maigne’s (Seated) & VBI (Supine); No abnormalities detected. … Continue reading L4/5 and L5/S1 Posterolateral Disc Injury