Mr. G, age 79 years, has always been physically active. He walks long distances on a daily basis and works out with weights.

Mr. G, age 79 years, has always been physically active. He walks long distances on a daily basis and works out with weights. While lifting weights one day, he experienced severe lower back pain that radiated down his left leg. The leg also felt weak. His doctor diagnosed a herniated intervertebral disk and advised immediate bed rest, with frequent application of heat, and skeletal muscle relaxant drugs.

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1. Discuss the pathophysiological changes and the probable location of the changes.

2. Explain why Mr. G. was told to notify the physician immediately if he was unable to urinate.

3. Why is it important for Mr. G. to use muscle relaxant drugs and apply heat at this stage?

4. Discuss possible complications and any further treatment that might be required.

5. Explain why this herniated disk may cause recurrent problems.