骨科学教学课件：LOW BACK PAIN LUMBAR DISC HERNIATION.pptVIP

1st-Operation L5/S1 Discectomy without fusion under Microscope Immobilization with Brace and Bed Rest for 3 Weeks Exercise of increasing trunk extensors strength and SLR ASAP Pain Free from Lumbago and Sciatica VAS of Back and Leg Pain (0, 1) over 3 month F/U 2nd-Admission 5.5 months after first operation Out of work due to disabling daily LBP with left sciatic pain Daily medications(Narcotic and Celebrex) for 6 weeks PH: Denial of injury and trauma SLR(+), Enhanced SLR(+) Numbness in lateral side of left calf and part of foot Level 4 in Muscle strength of left foot plantar flexti