Saturday, February 7, 2026

43M Low backache SLR++ with left lower limb paralysis Telangana PaJR

 
07-02-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABL GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[4.47 pm, 07/02/2026] PPM 1: Patient presented to OPD this week with low backache after a prolonged motorcycle ride in his profession as a muggu seller
[4:51 pm, 07/02/2026] PPM 1: On examination he had a strong SLR++ at 40 degrees in the left leg and a left ankle weakness with particular weakness in the EHL 
The SLR positive reduced from 40 degrees to being positive only at 70 degrees after a day on re examination by @PPM3
Gait on day 1 in OPD 👆   Gait one day later in ward 👇
            MRI                                                                         Pre operative power record and video
                                                              
[5.06 pm, 07/02/2026] PPM 1: Post operative power today after getting operated yesterday
https://youtube.com/shorts/JScbMqhERWw?si=Bd_KGuPUapcNEJaQ
[7.45 pm, 07/02/2026] PPM 1: Pre operative muscle power video after deidentification
                                                   
[7:50 pm, 07/02/2026] PPM 1: We'll need to capture a video of this post operative muscle power recovery daily to evaluate the efficacy of the neurosurgical intervention that was done yesterday in this patient @PPM4 @PPM3 @PPM5 @PPM6 
This is an added dimension of PaJR driven outcomes evaluation hitherto not popularised in medical research? @PaJR Health @PPM7 @PPM2 @PPM8 @PPM9
@PPM4 @PPM3 please do share his OT notes to get details of the intervention done
[7:50 pm, 07/02/2026] PaJR Health: I couldn't find a close match in the clinical vault, and the global research (PubMed) did not return any specific studies directly addressing daily video capture of post-operative muscle power recovery as a widely popularized method for evaluating neurosurgical intervention efficacy. This suggests that while individual institutions or researchers might be exploring such methods, it may not yet be a widely published or standardized practice in medical research.
To provide a more comprehensive response, please share the patient's OT notes so I can get details of the intervention done. This will help in understanding the specific context and potentially finding more relevant information.
[8.46 pm, 07/02/2026] PPM 2: Yes!! First of its kind and I hope the patient will stay with us long term

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