Lower back pain radiates down LLE to bottom of foot with “scrunched-up” sock with tight “rubber bands” feeling under left foot. It is harder for the patient to go upstairs with right leg.

1. Clinical Case Studies

2. 27 yo Female
• Pain onset 4 weeks ago
after Cross-Fit
• LBP radiates down LLE to
bottom of foot (8-10 VAS)
• 30% LBP, 70% LLE P
• Increased with flexion,
better with extension
• Feels like gait is limited in
LLE
• “Scrunched-up” sock with
tight “rubber bands” feeling
under L foot
• Harder to go upstairs with R
leg (why?)

3. AP and Lateral X-ray
No antalgic list, no angular collapse, no slip

4. L5-S1 HNP/Radiculopathy with
Gastrocnemius/Soleus Weakness
Calf weakness causes difficulty with
lifting the body to the next step
when ascending stairs on the
affected side

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