A previously healthy 45-yr-old labourer suddenly develops acute lower back pain with right-leg pain & weakness of dorsiflexion of the right great toe. Which of the following is true

A previously healthy 45-yr-old labourer suddenly develops acute lower back pain with right-leg pain & weakness of dorsiflexion of the right great toe. Which of the following is true –

A. Immediate treatment should include analgesics muscle relaxants & back strengthening exercises

B. The appearance of the foot drop indicate early surgical intervention

C. If the nerurological signs resolve within 2 to 3 weeks but low back pain persists, the proper treatment would include fusion of affected Lumbar vertebra

D. If the neurological signs fail to resolve within 1 week, Lumbar laminectomy and excision of any herniated nucleus pulposus should be done

Correct Answer: The appearance of the foot drop indicate early surgical intervention

Description: Sudden onset of back pain with radiation to lower limb (right leg pain) and weakness of dorsiflexion of the right great toe in a laborer suggest the diagnosis of PID. Progression of neurological impairment (for example weakness of toe extension to foot drop) is an indication for surgery.

Category: Orthopaedics

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