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Lift With Your Legs

Author: Mark Ringer, MD
Peer-reviewer: Brandon Godfrey, MD
Final editor: Alex Tomesch, MD, CAQ-SM

A 42 year-old male presents to the emergency department complaining of leg weakness. He reports that he lifts heavy boxes for work everyday, and deals with chronic lower back pain as a result. Today, he noted a sharp increase in his lower back pain after lifting a particularly heavy box, with sudden difficulty walking afterward. He has also had a feeling of incomplete voiding since this incident. On exam, the patient has symmetric weakness in his lower extremities, as well as some perineal numbness. 


Image 1. Case courtesy of Khaloud Alghamdi,, rID: 79069


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