• Pain location, higher than last visit (90% LBP)
  • Pain more intense and patient has impact and vibration aggravations
  • Can’t do typical recreational activities
  • Pain 3 years ago controlled with core strength and epidurals

IDR L3-4
Pain is located higher in back than previous involvement 3 years ago

Normal to IDR in 3 years

2016: Note that L3-4 was normal here and mild DDD L4-S1

2019: L4-S1 unchanged now L3-4 has IDR