EP047 - Acute Sciatica_ A Landscape Gardener's Low Back Pain

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode discusses a patient case involving a 30-year-old landscape gardener suffering from acute low back pain and sciatica, likely caused by a herniated disc impinging on the S1 nerve root. It details the patient's symptoms, abnormal examination findings indicative of nerve compression, and the most likely diagnosis. This scenario also focuses on advice on management, return-to-work modifications, and addressing patient concerns about the condition and prognosis. Finally, it provides detailed guidance on diagnosis, immediate management (including rest, medication, and physiotherapy), and preventive measures for this common issue, emphasising a positive approach and short-term reassessment.

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