Sciatica present physician extender algorithm

Is either number 1 or 2 present?

Yes

No

1. Acute radiculopathy with any one of the following three findings:

A. Urinary retention

OR

B. Saddle anesthesia (numbess of the buttocks and groin area)

OR

C. Bilateral neurological symptoms

OR

2. Rapid decline in muscle strength in a specific anatomic distribution (not generalized weakness, but weakness in the right leg for instance)