ABSTRACT
Your next patient in your busy GP morning clinic arrives. He introduces himself as Hercules and you are immediately impressed with his size and stature. He reports some heavy lifting over the past few months. Yesterday, this 25 year old lifted a large boulder and developed severe pain in his back. He denies any bladder or bowel disturbances. A full neurological examination is performed, which is normal, and he has some pain on straight leg raise.
