Nezar H. Al Nezari et al. Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy: a systematic review and meta-analysis. In The Spine Journal, June 2013, 13(6), 657–674
Back pain with leg pain caused by disc herniation is a complex problem and not one that is easy to diagnose. Physicians rely on the patient’s history, physical examination (including specific neurological tests) and imaging studies such as X-rays, MRIs and CT scans. Accurately identifying the problem is one step. Determining the spinal level where the disc is pressing on the spinal nerve is a separate diagnostic step.
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