A 47-year-old patient with no known chronic disease had pain that spread from the right groin to the anterior aspect of the right knee for two months. The patient’s pain was of the mechanical character and decreased with leaning forward. The patient who did not describe morning stiffness, numbness and tingling had no history of trauma. The patient described his pain as nine during ambulation, five at rest and five at night, based on the Visual Analogue Scale (VAS). The walking distance was about 20 meters. The patella reflex was hypoactive on the right, normoactive on the left, while Achilles reflex was bilaterally hypoactive.
Examination:
Examination of the foot sole skin yielded a bilateral flexor plantar reflex. In the sensory evaluation performed by light touch and pinprick test, allodynia rather than hypoesthesia was detected on the L4 dermatome area of the anterior aspect of the thigh. MRI was done.
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