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the above pt was seenin my OPD today with severe back pain with L leg radiation for thw last 6 months following an RTA on the 29th Nov.2009. He was treated conservatively for the last number of months with no great benefit.
On examination he is in significant pain and discomfort with limited ROM and positive SLR on the L leg.
MRI scan shows a large L4-5 disc prolapse on L nerve root.
He will requre further intervention for his condition.