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afya Prolapsed disc

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20160425222424 Ben  
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Mx  
initally analgesia, physio, exersize
If Sx persist refer to consider MRI

Prolapsed lumber disc gives clear dermatomal leg pain with neuro deficit
leg pain worse than back pain
pain worse on sitting

|Site|Sensory loss|weakness|red. reflex|pos stretch test|
|L3|Ant thigh|quads|knee|femoral|
|L4|Ant knee|quads|knee|femoral|
|L5|dorsum foot|fott / toe dorsiflex|intact|sciatic|
|S1|postlat leg, lateral foot|plantarflex|ankle|sciatic|