On a single clinic afternoon, you get four patients with low back pain.
Challenge 1: A 45 year old has sharp or burning pain radiating down the lateral or posterior aspect of the leg to the ankle. There's a little bit of numbness and tingling. What's the diagnosis?
Challenge 2: A 70 year old man presents with urinary retention with overflow incontinence, bilateral shooting pain down the back of his legs, and leg weakness. You note perianal anesthesia. What's the diagnosis?
Challenge 3: A 16 year old IV drug user presents with low back pain after a day of heavy lifting. He has no other symptoms and no other medical problems. Do you image his back?
Challenge 4: A 30 year old woman who is a smoker presents with low back pain after sleeping funny for a week. She has no other symptoms and no other medical problems. Do you image her back?