Case - On examination
As patient approaches you hear abnormal gait and on inspection foot drop is present.
Spine examination some muscle tenderness but no bony tenderness. Reduced range of spinal movement in particular lateral flexion.
Restricted SLR on left with positive nerve tension signs.
Increased tone on Left.
Weakness of extension of left big toe power 3 (Active movement against gravity but not resistance) L5 myotome.
Sensory loss/numbness on dorsum of left foot - light touch and pin prick (L5 dermatome).
