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 -
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.
Immediate treatment should include analgesics muscle relaxants & back strengthening exercises
The appearance of the foot drop indicate early surgical intervention
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
If the neurological signs fail to resolve within 1 week, Lumbar laminectomy and excision of any herniated nucleus pulposus should be done