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Back Pain & Instability / Back weakness

Symptoms of Back Pain & “Instability” / Back weakness.

Low back pain ± Buttock pain associated with a catch on extension (becoming upright) or getting up from a chair

Presentation	Diagnosis	Options
Recurrent episodes over a period of <12 months	“Instability” Abnormal intervertebral micromovements, Lateral recess Stenosis, Facet joint arthritis / Foraminal osteophytes, Associated disc degeneration / loss of height / protrusion	Muscle Balance Physiotherapy, anti-inflammatory medicines, pain controlling medicines (Conservative Care)
Recurrent episodes over a period of <12 months
Recurrent episodes over a period of >12 months unresponsive to Conservative Care		Endoscopic Lumbar Decompression & Foraminoplasty / Fusion (solid / flexible) / Total Disc Replacement.