If you had a patient that drove a commercisl vehicle with a 5mm protrusion at the L1 causing the nerve to the left leg to be affected . Foot drop is present with limited mobility of the ankle and loss of strength,, Would you return him to work without limitations knowing that he would drive in a heavy traffic local situation?
No. You have a permanent disability. The patient should find other work. It has nothing whatsoever to do with "heavy local traffic". That's ridiculous. It has to do with the up-and-down motion of the truck seat. It will agravate the injury.
The fact he has foot drop means the injury has already been mishandled.
The term "commercial vehicle" means nothing. It's meaningless.
Does he have an "A" CDL?
If the patient has a fusion or a laminectomy he can be cleared for work.
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