A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored?

2 response to advanced health assessment | NURS6512 | Walden University

Based on the patient’s reported symptoms, it is likely that the nerve roots of L4 and L5 are involved in his lower back pain. To test for these, a physical examination should be conducted to assess range of motion, muscle strength and reflexes at each lower limb level. Additionally, a straight leg raise test may be used to further evaluate possible nerve root involvement as this can provoke radiating pain along the affected root.

In order to accurately diagnose the cause of this patient’s back pain, additional symptoms need to be explored such as recent injuries or falls. Other possible causes such as degenerative disc disease or spinal stenosis should also be considered depending on age and medical history. Imaging studies may also need to be ordered for further evaluation if required.

Ultimately, by performing a thorough examination and obtaining relevant information from the patient a more accurate diagnosis can be made which will inform an appropriate treatment plan going forward.