The typical “extensor” patient is the one who suffers from the classic “witch’s shot”. The pain arises acutely at the lumbar and/or sciatic level with radicular or similar-radicular distribution (rarely on the front of the thigh). The picture can have dramatic aspects due to high suffering. This patient hardly ever immediately accesses a specialist referral: a decision entailing waiting times and a painful transfer from home. Often, the patient requests a home visit from their family doctor or presents in the emergency room. The anamnesis is rarely informative.

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The Extensor-Type Patient: Typical Clinical Picture

  • Luigi Tesio

摘要

The typical “extensor” patient is the one who suffers from the classic “witch’s shot”. The pain arises acutely at the lumbar and/or sciatic level with radicular or similar-radicular distribution (rarely on the front of the thigh). The picture can have dramatic aspects due to high suffering. This patient hardly ever immediately accesses a specialist referral: a decision entailing waiting times and a painful transfer from home. Often, the patient requests a home visit from their family doctor or presents in the emergency room. The anamnesis is rarely informative.