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2305 Orthopaedics

A 45-year-old construction worker presented to the medical OPD with sudden acute low back pain radiating to the left leg with inability to lift the big toes. The best management would be

AImmediate treatment includes analgesics, muscle relaxants and back strengthening exercises
BThe appearance of foot drop would be an early indication for surgical intervention
CConservative treatment for one week. If weakness in the big toes persists, lumbar laminectomy and excision of any herniated nucleus pulposus should be done
DIf the neurological signs but not the back pain resolve in 2-3 weeks, proper treatment would include fusion of IA and L5
Orthopaedics
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