Abstract
A 41-year-old man reports the sudden onset of low back and left leg pain. The symptoms began while he was doing yard work and pulling out large bushes. Since the onset of the pain 2 days ago, it has worsened, although he took a single dose of ibuprofen when the pain began. The patient has no clinically significant medical history, and the physical examination is normal other than severe pain in the left leg with a straight-leg-raising maneuver to 40 degrees. He says, "I'm sure I slipped a disk," and he requests magnetic resonance imaging (MRI) of the low back. What testing and treatment would you recommend?
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1763-1772 |
| Number of pages | 10 |
| Journal | New England Journal of Medicine |
| Volume | 374 |
| Issue number | 18 |
| DOIs | |
| State | Published - May 5 2016 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Herniated lumbar intervertebral disk. / Deyo, Richard (Rick); Mirza, Sohail K.
In: New England Journal of Medicine, Vol. 374, No. 18, 05.05.2016, p. 1763-1772.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Herniated lumbar intervertebral disk
AU - Deyo, Richard (Rick)
AU - Mirza, Sohail K.
PY - 2016/5/5
Y1 - 2016/5/5
N2 - A 41-year-old man reports the sudden onset of low back and left leg pain. The symptoms began while he was doing yard work and pulling out large bushes. Since the onset of the pain 2 days ago, it has worsened, although he took a single dose of ibuprofen when the pain began. The patient has no clinically significant medical history, and the physical examination is normal other than severe pain in the left leg with a straight-leg-raising maneuver to 40 degrees. He says, "I'm sure I slipped a disk," and he requests magnetic resonance imaging (MRI) of the low back. What testing and treatment would you recommend?
AB - A 41-year-old man reports the sudden onset of low back and left leg pain. The symptoms began while he was doing yard work and pulling out large bushes. Since the onset of the pain 2 days ago, it has worsened, although he took a single dose of ibuprofen when the pain began. The patient has no clinically significant medical history, and the physical examination is normal other than severe pain in the left leg with a straight-leg-raising maneuver to 40 degrees. He says, "I'm sure I slipped a disk," and he requests magnetic resonance imaging (MRI) of the low back. What testing and treatment would you recommend?
UR - http://www.scopus.com/inward/record.url?scp=84968911274&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84968911274&partnerID=8YFLogxK
U2 - 10.1056/NEJMcp1512658
DO - 10.1056/NEJMcp1512658
M3 - Article
C2 - 27144851
AN - SCOPUS:84968911274
VL - 374
SP - 1763
EP - 1772
JO - New England Journal of Medicine
JF - New England Journal of Medicine
SN - 0028-4793
IS - 18
ER -