Abstract

An Uncommon Differential of Sciatica

A 61-year-old male presented with sudden onset of acute on chronic lower back and left lower limb pain for the past three days. He reported no specific triggers, denying any focal red flag symptoms and felt systemically well with no urinary or bowel symptoms. He was on long term immunosuppressants (tacrolimus, prednisolone) for a previous renal transplant with no recent medication changes.

On examination, he was afebrile and hemodynamically stable. He was ambulating with a normal gait despite shooting pain in the left leg. There was no spinal or paraspinal tenderness on palpation and the left straight leg raise test was indeterminate. There was pain noted over the left foot but no rashes. The remainder of the neurological exam was unremarkable. The patient was counselled about back pain treatment options.


Author(s):

Jonathan Tanios*1, Shannon A. Wong1, Nameana M. Seve2, Alfred Song1,2



Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+