Exactly this 👇👇👇👇
As much as I am fascinated and interested in acute cases of clear-cut painful lumbar radiculopathy and neurogenic claudication, with their comfortable explanations, somewhat predictable outcomes and stepped treatment options, this is hardly the clinical reality in most cases.
Most patients I see in the clinic have somatic referred pain (non-specific low back-related leg pain), leg pain of uncertain relevance, or co-existent leg pain such as knee pain, hip pain, heel pain.
Expect equivocal imaging, equivicol clincial tests, co-morbid health conditions, contradictory communication, and pain that shifts, radiates, and behaves unpredictably.
Expect seemingly erroneous symptoms like occasional pins and needles or numbness. Expect that patients will find it difficult to articulate these symptoms in the midst of a turbulent emotional experience.
This is clinical life. It’s not a negative take; it’s probably more a case for humility. Clinical research should reflect it. Let’s see more examples of this on social media.