Patient Information:
• Name: John Smith
• Age: 45
• Occupation: Office worker
• Medical History: No significant medical history
Presenting Complaint:
John Smith presented to the orthopedic clinic with complaints of severe lower back pain that radiated down his left leg. The pain started a week ago and has progressively worsened. He also experienced numbness and tingling sensations in the left leg.
Physical Examination Findings:
• Tenderness and muscle spasm in the lumbar region
• Positive straight leg raise test on the left side, reproducing leg pain
• Decreased sensation in the left leg along the L5 dermatome
• Weakness in the left ankle dorsiflexion and toe extension
Imaging Studies:
An MRI scan of the lumbar spine was performed, which revealed a disc prolapse at the L4-L5 level, causing compression of the left L5 nerve root.
What is the cause of john pain?
Why john had numbness and weakness?
What is the dermatome and myotome?
What is straight leg raise test?
Why there is a weakness in dorsiflexion and toe extension?
