Multisegmental neurologic deficits inconsistent with her prior lumbar imaging prompted further investigation. She was previously treated for over 3 months for suspected lumbosacral radiculopathy with physical therapy. A 26-year-old woman presented to a chiropractor at a hospital-based outpatient clinic with a 6-month exacerbation of radiating pain and paresthesia from the right gluteal region into the leg and foot. Its diagnosis depends on the recognition of signs and symptoms atypical to common degenerative lumbar disorders and its treatment requires timely and coordinated care.
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