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Algorithm > 4 weeks - Neurologic Limb Symptoms? - Primarily Back Pain?

A large percentage of patients with LBP > 4 weeks will not have symptoms of radiculopathy. The symptom of sciatica has such a high true positive rate for lumbar nerve root compression that its absence makes a clinically important lumbar disc herniation related to neural compression unlikely.

Reassessment is recommended at this time to seek a reason for the delay in expected recovery. After reviewing the patient's activity level and history and physical findings the clinician may consider further diagnostic studies.

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