•Standing, walking pain
•Came on insidiously
•80% RLE P
•Worse towards EOD
•Relieved by sitting
•No pain with sleeping

What do you see?

Look Carefully at L4-5

•Slight slip (DS) at L4-5
•Slip is caused by?
•What can this lead to?

Lateral Recess Stenosis

Note that R facet is much more gapped and will subluxate further than L causing impingement of R L5 root with standing