Neurophysiology Case Histories - Case 3

A 42-year-old male complained of severe, lower (lumbosacral) back pain which radiated to his left buttock, leg, and foot. This dull pain was intensified during coughing, sneezing, and bending. He also experienced muscle spasms in the left leg. There was mild sensory and motor loss in the left buttock and leg as well.

1. What is the disorder of this individual?

2. What major nerve is involved? From what spinal cord levels does this nerve emerge?

3. Define dermatome and described the dermatomes involved for this individual.

4. Why did coughing, sneezing, and bending intensify the dull pain?

5. Why was there both mild sensory and motor loss in the left buttock and leg?

6. What treatments may be of benefit to this individual?

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