Case Problem Statement

The patient is a 68-year-old female with PMH of osteoporosis who presents with 7/10 lower back pain (LBP) that radiates down her right leg. Her symptoms began 4 days ago, and now she has worsened right leg weakness for 1 day. Her symptoms started after she did some heavy lifting at work. She denies any other leg symptoms, fever, weight loss, or loss of bowel or bladder control. Physical examination demonstrates right lower extremity (RLE) sensory and motor deficits without spinal bony point tenderness or saddle anesthesia.