Clinical Examination and Findings
The patient presented to the orthopaedic urgent care clinic awake, alert, and oriented. He was cooperative with the physical exam and exhibited a normal and appropriate affect. His gait was significantly antalgic. While ambulating, it was evident that he had a painful right leg. Inspection of the right hip and low back revealed focal, reproducible tenderness along the posterior aspect of the right lumbosacral joint. He had no sciatic notch tenderness. There was no significant tenderness to palpation over the midline of the lumbar spine and no significant tenderness over the right flank. Range of motion of the hip was full without any significant discomfort. Neurovascular assessment of both lower extremities was intact.