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72F w L4-5 stenosis with worsening lower back and leg pain
Where is the patient’s back and leg pain?
What is the patient’s neurological exam?
Is there any concern for cauda equina syndrome (e.g. saddle anesthesia, leg weakness, incontinence)?
What is the timeline of these symptoms? How stable or progressive have they been, and how do they compare to any previous back or leg pain?
Which symptom is worse: the back pain or the leg pain?
Does the leg pain follow a dermatomal distribution?
Does the patient have a history of spinal procedures?
What other medical comorbidities does the patient have?
Does the patient take any anticoagulant or antiplatelet medications?
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