Wfsrph A natural Factors that exacerbate pain in disc herniation Maneuvers that increase intraspinal pressure such as coughing or sneezing Forward flexionsitting driving or lifting worsens leg pain Ambulatory Medicine l STEPUP TO MEDICINE CliniCAl PeArl Cauda equina syndrome Caused by severe stenosis in the lumbar spine most commonly due to an acute disc herniation Patients present with severe back or leg pain uni or bilateral with or without weakness in the legs. <a href=http://aprednisonen.com/>Prednisone</a> Smokingif history of smoking more likely to be malignant