Which finding is most consistent with a large central intervertebral disc herniation during straight leg raise?

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Multiple Choice

Which finding is most consistent with a large central intervertebral disc herniation during straight leg raise?

Explanation:
When a disc herniation is large and central, it tends to compress the thecal sac and cauda equina rather than a single nerve root. That pattern often presents with back pain elicited by the straight leg raise, and may include bilateral symptoms rather than a focal leg radiculopathy. So, pain in the back during the straight leg raise best fits a large central herniation.

When a disc herniation is large and central, it tends to compress the thecal sac and cauda equina rather than a single nerve root. That pattern often presents with back pain elicited by the straight leg raise, and may include bilateral symptoms rather than a focal leg radiculopathy. So, pain in the back during the straight leg raise best fits a large central herniation.

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