A previously healthy 45-yr-old labourer suddenly develops acute lower back pain with right-leg pain & weakness of dorsiflexion of the right great toe. Which of the following is true -: (A) Immediate treatment should include analgesics muscle relaxants & back strengthening exercises, (B) The appearance of the foot drop indicate early surgical intervention, (C) If the nerurological signs resolve within 2 to 3 weeks but low back pain persists, the proper treatment would include fusion of affected Lumbar vertebra, (D) If the neurological signs fail to resolve within 1 week, Lumbar laminectomy and excision of any herniated nucleus pulposus should be done
Answer is B. Sudden onset of back pain with radiation to lower limb (right leg pain) and weakness of dorsiflexion of the right great toe in a laborer suggest the diagnosis of PID.
Progression of neurological impairment (for example weakness of toe extension to foot drop) is an indication for surgery.