These are a portion of the total circle that 360˚. These types include straight, right, acute or obtuse. There are a variety of different types of angles. Angles lie in a plane, but this plane does not have to be a Euclidean plane. Thank you for visiting our website and searching for Free Worksheets On Measuring Angles With A Protractor.When two rays meet at a point In plane geometry, they form an angle at that common endpoint, called the vertex of the angle. Angles that are not right are not recommended. This change can lead to resonant circuits. The corner of an acute angle contains more copper, and the impedance is suddenly changed. This is because they create a discontinuity in the traced signal integrity. Avoid angles that aren’t rightĪngles that are not quite right can be problematic. There are many free worksheets available online that can help you master these skills. It is important to practice as often as you can. Even the slightest difference can change the answer. It is crucial to be exact and precise when learning how to use a protractor to measure angles. Then, measure the angle to the nearest degree. After this, the protractor will automatically align one side of your angle with the zero line. The protractor must have the vertex of your angle at the protractor's midpoint in order to be used properly. An acute angle needs a scale that measures more than 90 degrees, while an obtuse angle needs one that is less than 90 degrees.Ī standard protractor has two scales: an inner scale for acute angles and an outer scale for obtuse angles. To use a protractor to measure an angle, first you must classify the type of angle. It also tells you what the angle on the other end is in degrees. These steps will help you to use a protractor to measure angles.Ī protractor shows two scales, one that reads 0 degrees and the other one that reads 180 degrees. A protractor is used to measure parts of a circle, and its design is based on the angle of the circle. Learning how to measure angles with a protractor can be challenging. They are very easy to use, and they help students become more familiar with angles. Protractors come in many forms, including round, semi-circular, and 360-degree versions. Protractors are very useful tools when learning how to measure angles. Students can print and download a printable worksheet with measuring angles to practice using a protractor. One side will represent the angle and the other will indicate the angle's degree. The protractor should line up with the zero line. The protractor's midpoint should be located on the vertex. If this is difficult for them, a tutor can suggest a PDF measuring angles worksheet.Ī protractor can be used by students to practice measuring angles. Students can draw quadrilaterals and triangles based on their length. Once students understand the concept of measuring angles, they should complete additional activities to gain a deeper understanding of them. Students can also practice reading a protractor's inner scale. These worksheets are suitable for 4th-5th grade math classes. These worksheets teach how to classify and measure angles, and also how to use clocks and polygons to measure angles. Printable measuring angles worksheetsĮlementary school students can use these free printable worksheets to learn more about angles. Then, you can write the angles on a worksheet to make it easy to find later. You can use your protractor for estimating angles. You can, for example, use a protractor in order to measure angles that look right but are actually obtuse, or acute. These worksheets also provide tips for making measurements easier. These worksheets will help you learn how to use a protractor and avoid angles that are not exactly right. Find what you need about Free Worksheets On Measuring Angles With A Protractor down below.įree Worksheets On Measuring Angles With A Protractor - To practice measuring angles, download the free Measure Angle Worksheets. If you are trying to find Free Worksheets On Measuring Angles With A Protractor, you are arriving at the right site.
0 Comments
It was not until later that he realized the world was a beautiful place full of many things to learn. In the beginning…ĭriven by his newfound passion, Philipp Dettmer applied to the Munich Design School and was accepted. Steve Taylor, often dubbed ‘the voice of Kurzgesagt,’ is the voiceover for each video, varying from 4-16 minutes. The studio’s YouTube channel focuses on highly stylized animated educational content through the use of the flat design style. The site works hard to raise awareness for topics in the fields of science, space, technology, biology, history, and philosophy, integrating humor into each video to really resonate with the target audience and inspire learning at the same time. While the online giant engages in information design projects of all kinds, it is probably best known for its unique animation videos. So how did Kurzgesagt reach so many people and build an enormous and devoted loyal base? The question is, what distinguishes their animated explainer videos from others available on the internet? Minutes can very quickly turn into hours – we’re telling you. WARNING: You may soon find yourself going down an endless Tik-Tok-style rabbit hole where you can’t help but click one video after another. In fact, their videos are so engaging that they are notorious for encouraging binge-watching stints. Even with the multitude of online video content in existence, Kurzgesagt has still managed to cut through the noise through its uniquely humorous video content and offer something unique to the online world. In light of these statistics, it is no wonder that Kurzgesagt is now the largest Youtube channel in Germany, with its main headquarters based in Munich. Launched in 2013 as a freelance project by Philipp Dettmer, Kurzgesagt has accumulated more than 16 million subscribers and a massive 1.6 billion views. “ It is a YouTube channel and design agency, who, in their own words, have a unique perspective on design, color, and storytelling’. Kurzgesagt – is a coined German phrase, translated in English to “In a nutshell. Sign up for the Carbonite Affiliate Program today and start earning commission while helping businesses protect their important data. All images are for visual demonstration only and do not represent real products or individuals. Visitors should verify information independently and seek professional advice for decisions. Content is based on various online sources and may be outdated. It does not provide financial advice or serve as an authoritative source. Disclaimer: This website offers generic information about individuals, brands, and businesses for entertainment and satire purposes. Carbonite’s dedicated affiliate team is also available to assist you every step of the way, ensuring your success in the program. Whether you’re a seasoned affiliate marketer or new to the world of affiliate programs, Carbonite provides a lucrative way to monetize your online presence.Īs an affiliate, you’ll have access to various marketing materials and resources to support your promotional activities. This program offers individuals the opportunity to generate income by spreading the word about Carbonite’s reliable and secure data backup services.īy joining the Carbonite Affiliate Program, you can start earning commission through your promotional efforts. Premium internet security software includes all the features of Webroot Internet Security Plus, with extras like 25GB of online storage and a System Optimizer to keep devices running smoothly.Are you looking to earn commission while promoting top-tier online backup solutions? Look no further than the Carbonite Affiliate Program. Webroot defends you against identity theft by protecting your private information like usernames, passwords, account numbers, and more. Plus, with our no-software-conflict design, Webroot Internet Security Complete + Antivirus Software keeps you resilient against all cyber threats.Īlways enjoy peace of mind knowing Webroot’s cloud-based antivirus software provides comprehensive internet security to shield your PC or Mac from malware attacks without slowing you down.Įfficiently scans your computer for viruses and malware in seconds and uses almost no storage space thanks to a cloud-based architecture.įreely browse the web with Webroot’s total security software, which proactively scans the internet to block phishing, ransomware, and other malicious attempts to steal your money and personal information.įeel secure about conducting your daily businesses on the web. With more than 250,000 new malicious programs appearing each day, it is crucial to protect yourself along every step of your online routines, from shopping and banking to personal administration and social networking. This enables us to store malware definitions in the cloud and identify them in real-time, and provide an effective shield while maintaining a small footprint on your device. Fully cloud-based and faster than our competitors, we scan billions of apps, files, and websites continuously to determine where and what is safe online. Powerful, lightweight, and integrated protection for PC, Mac, and Android, Webroot Internet Security Complete + Antivirus Software protects personal information by blocking the latest malware, ransomware, phishing, and cyber-attacks. Webroot Internet Security Complete + Antivirus Software in our top-of-the-line protection for viruses, malware, identity theft, and other cyber attacks for all your devices - without slowing you down. Every link clicked, email opened, app downloaded, and network joined is an opportunity for hackers to compromise your personal data. Nearly half of all consumers worldwide have been victims of cybercrime. There's Always a New Cybersecurity Threat - Let Webroot Help. Advanced Features: System Optimizer and 25GB of cloud storage.
You win by matching these numbers in any order for all possible Straight combinations. Wheel 6-Way - You have to select six sets of three-digited numbers.You win by matching these numbers in any order for all possible straight plays. Wheel 3-Way -You have to select three sets of three-digited numbers.You win by matching these numbers in any order. 6-Way Box: You have to select three different numbers. You can win by matching these numbers in any order. 3-Way Box:You have to select one pair of the same numbers and one different number.Straight: You win the lottery if you match the winning numbers in exact order.Ensure to check the accuracy of the numbers and sign at the back of your ticket for authentication. Your lottery ticket is your only receipt. In return, you will get a ticket for selected numbers, and playstyle(s). You need to hand over your completed playslip and payment to the retailer. Marking the appropriate number of draws in the Multi-Draw box will let you play your selected Michigan Daily 3 numbers for more than 1 drawing. Wish to play your numbers for more than one drawing? The Michigan Lottery lets you play your favorite Daily 3 numbers up to 60 consecutive draws. The Michigan Daily 3 MID (Midday) drawings are held every day at 12:59 p.m., whereas the EVE (Evening) draw takes place at 7:29 p.m. Or you can ask your lottery retailer for a Daily 3 “Easy Pick” to have your numbers randomly generated by the computer.Īfter choosing your numbers, you need to select the play type and wager ranging from $0.50 to $1, including Straight, Box, Wheel, 2-Way, and 1-Off, which actually determines the prize amount you will win. If your selected numbers match the winning numbers according to your bet type you bag the winning prizes. Each Daily 3 playslip contains five panels, so you have to pick three different or duplicate numbers for each panel from 0 to 9. Playing Michigan Daily 3 is really exciting and highly simple. Not to limit your options of winning, the game offers a variety of options like Straight, Box, Wheel, 2-Way, and 1-OFF so that you never miss that one lucky chance of winning. You just need to pick three analyzed numbers of your choice and turn the game in your favor by fighting against the odds of 1 in 1000. The game draws twice a day, which means you have multiple chances to bag the jackpot with each game. Want to win exciting lottery prizes every day? Well, with Michigan Daily 3, you can win up to $500 daily by just investing $1. python statistics python3 sampling latin-hypercube latin-hypercube-sampling Updated HTML relf / egobox Star 41. library(lhs)įor convenience we can bring this into a single function like so. This is an implementation of Deutsch and Deutsch, 'Latin hypercube sampling with multidimensional uniformity', Journal of Statistical Planning and Inference 142 (2012), 763-772. In addition to providing a cost-effective and reliable sampling scheme, the Latin hypercube sampling technique also provides the user with the flexibility efficiently to study. Latin hypercube sampling (LHS) was inspired by the concept of Latin square from combinatorial mathematics, where an n-by-n matrix is filled with n different objects (i.e., numbers, characters, symbols, etc.) such that each object occurs exactly once in each row and exactly once in each column see Fig. Using the lhs library from R, we first create 12 random uniform distributions between 0 and 1 for each of the three decisions, a, b and c. Latin hypercube sampling is a recently developed sampling technique for generating input vectors into computer models for purposes of sensitivity analysis studies. Let’s assume we would like only 12 individuals from the 24 potential unique combinations, but we still want good representation of all/most possible decisions. An individual in the starting population of a genetic algorithm would be of the form, 1_TRUE_red, for instance. There are \(3 * 2 * 4 = 24\) possible unique combinations of these decisions (if a can only take on integer values). decision c can be red, green, blue or black.Let’s assume we have three decisions, where: The last section, VBA Reference - Public Functions, lists the public functions available in VBA. The next section, VBA Reference - Public Variables, lists the public variables available in VBA. I needed a way of randomly sampling from the decisions but in a way that ensured the starting population had lots of diversity. EXCEL VBA LATIN HYPERCUBE SAMPLING HOW TO Two tables give a summary listing of available variables and functions. Combinatorial algorithms are the worst type for growth in complexity ( \(O(n!)\)). Already with 30 independent decisions with two possible values the number of combinations is 2^30 = 10,737,41,824, 10 times more than the number of stars in the average galaxy. This is true even if you only select the upper and lower bound per decision. I then wrote another function to take a model object and a user-defined population size and automatically work out the nearest population count that allowed for even sampling over the model’s decision bounds.įor models with large numbers of decisions the potential number of combinations is enormous. Initially I wrote one function to create evenly spaced sequences for every decision between the lower and upper bound of allowable values, from which I enumerated all possible combinations using id(). The ga() function within the GA package in R allows for a suggestions argument, which takes a matrix of decision values and places them within the starting population. Having a good distribution of “genes”, or decisions within the initial population is key to allowing a GA to effectively explore the decision space. The background to this is that I have been working on improving the convergence of an optimisation package that uses genetic algorithms. ‡ The top prize is "split-prize liability" in essence, a non-progressive jackpot. Cash option values (which can change periodically), as of April 2021, are $7,000,000 for the top prize, and $1,000,000 for second prize. If there are more than the number of winners established in the rules of the game for the third prize and the fourth prize with the “DOUBLER NJ” feature the prize for that category will be distributed based on the amount established in the game’s rules. If there are more than five second prize winners in the same draw the prize will be awarded in cash and be divided evenly among the winners for that draw. If there are more than 14 top prize winners in the same drawing then the prize will automatically be paid in cash to each winner. If there are multiple winners of the top prize, the prize is divided between the winners. † The top two annuitized prizes, third prize, and the $1,000 Doubler NJ prize each have a liability limit. The overall odds of winning are approximately 1:7.76. New Jersey remains the only Cash4Life state with such an option. On May 15, 2017, New Jersey added an option, called Doubler NJ it can be added to a Cash4Life ticket for an additional $1 per play. First- and second-prize winners who chose the "annuity" option can change to the cash option after winning however, the "cash" option is binding and cannot be changed. New Jersey Lottery regulations require that players choose either the annuity or cash option when playing. Second prize, however, can have multiple winners of $1,000-per-week-for-life and/or $1,000,000 cash. Matching all five numbers in the main field plus the Cash Ball wins, or shares ("split-prize liability"), the equivalent of $1,000-per-day-for-life, or $7,000,000 cash, at the winner's option. Players also have the option to have the terminal randomly select the numbers in both fields. Players pick five white ball numbers from 1 through 60 in the main field, plus one number from 1 through 4 from the second field, the green "Cash Ball". Ticket sales began on June 13, 2014, in New York and New Jersey the first drawing took place three days later.Įach game costs $2 per drawing. JSTOR ( June 2014) ( Learn how and when to remove this template message)Ĭash4Life is an American multi-jurisdictional lottery drawing game as of April 2021, it is offered by ten state lotteries and is drawn nightly.Unsourced material may be challenged and removed. Please help improve this article by adding citations to reliable sources. For example, if you match four main numbers and the Cash Ball, your $2,500 prize will be multiplied by two and you will receive a payout of $5,000.This article needs additional citations for verification. You have to pay an additional $1, but if you win any non-jackpot prize it will be doubled. The New Jersey Lottery offers an optional extra feature called ‘Doubler’. The cash option for the second prize is $1 million. There is a minimum payment period of 20 years, so if a winner dies the rest of the money goes to their estate.Ī one-time, cash payment of $7 million is available to jackpot winners as an alternative if they do not wish to receive their prize as an annuity. Jackpot winners receive $365,000 a year (leap years do not count for purposes of prize calculation), while winners in the second tier receive $52,000 a year. The prizes for the top two levels keep getting paid out to winners for as long as they live. The table below shows all the ways you can win and the prizes available. The overall odds of winning a prize are 1 in 8, while the chances of winning the jackpot are 1 in 21,846,048. The prizes in the third to ninth levels are set amounts. If all six of the numbers you have selected are the same as the winning numbers drawn, you can look forward to receiving $1,000 a day for life.Įven if you match all five main numbers but miss out on the Cash Ball, the prize is $1,000 a week for life. Cash4Life offers nine prize categories, including two where you keep winning for the rest of your life. Unless you need VHD and iSCSI support, hang on to your current version until Disc Soft commits. The good ideas and new features on display here don’t outweigh this cynical approach. Image format conversion is supported only in Ultra, Net, and Pro versions (not the popular free version),Īdding injury to insult are the multiple attempts during installation to insert third party “browser bar” style software nonsense which makes the asked $45 investment feel exploitative. DAEMON Tools Pro is a robust software for Windows PC that enables users to emulate virtual discs and manage disc images effectively. All the “may” and “if” language suggests support is likely to be based on popularity rather than any sense of responsibility towards existing, paying customers. Following major DAEMON Tools Ultra release, we are ready to present the next version of our most powerful imaging software. Also off-key is the fickle attitude displayed towards future development. mdx images of CD, DVD, Blu-ray discs Protect images with password Make a compressed disc image or split the image to several files. This beta-test approach is ill-advised given the product is commercially themed, has been officially released, and is one of the most expensive in their catalog. Direviu oleh Álvaro Toledo Diterjemahkan oleh Uptodown Localization Team. DAEMON Tools sangat bermanfaat dalam banyak hal, oleh karena itu program ini diunduh dan dipakai oleh ribuan pengguna setiap hari. So, there is no ability update 1 instance.” Program ini mendukung: CUE, ISO, BWT, CDI, B5T, CCD (CloneCD images), MDS, NRG (Nero images) y PDI (CD/DVD instant images). Compare price, features, and reviews of the software side-by-side to make the best choice for your business. Instance is considered as a License copy, which may be installed and used on one operating system. DAEMON Tools Ultra using this comparison chart. By following these step-by-step instructions, you can easily create professional-looking labels for any purpose. Printing Avery labels in Google Docs is a simple process that can save you time and hassle. Highlight the text you want to change and use the font size dropdown menu in the toolbar to adjust the size. How do I change the font size of my labels? Yes, simply create a new text box for each label and customize the content as needed. Can I print different content on each label? While it’s possible to manually set up your label document in Google Docs, using an Avery label template ensures your labels will print correctly and saves time. To save time, consider copying and pasting your content from a spreadsheet or other document into your label template.įrequently Asked Questions: Can I print Avery labels without a template?.If you’re having trouble finding the Avery label template you need, try searching for it by label number or size in the Google Docs template gallery.Be sure to preview your labels before printing to ensure they’re aligned properly. From the Print menu, click on More Settings and adjust the Margins to 0.5 inches. To do this, click on File and then select Print. Step 4: Adjust label marginsīefore printing, you may need to adjust the margins of your labels to ensure they print correctly. Continue pasting duplicates until you have the desired number of labels on the page. Then, click anywhere outside of the text box and press Ctrl + V (Windows) or Command + V (Mac) to paste a duplicate label. To do this, select your text box and press Ctrl + C (Windows) or Command + C (Mac) to copy. Once you’ve added your content, it’s time to duplicate your labels. Be sure to format your text as needed (bold, italics, font size, etc.) before moving on. A text box will appear on your document, and you can add your text by typing directly into the box. You can do this by selecting Insert and then clicking on Text Box. Next, add the content you want to appear on your labels. From there, select the Paper Size dropdown menu and choose the Avery label template that matches your label size. Select the File menu, then click on Page Setup. Our templates streamline the label creation process, saving you time and effort.To get started, open a new Google Docs document. Print a sample to check for quality, then proceed with your final print.Personalize the template to your liking with text or images.Please make sure you set your “Scale” to “Custom” and then set it to “100” to avoid incorrect alignment. Use gridlines for precise alignment and ensure appropriate text size.Download the label template and open it with your preferred software (Word, PDF, or Canva™).Select your desired label template design from our gallery.Our free online label templates are helpful in creating high-quality labels quickly. Simplifying Label Creation with Online Label TemplatesĪt Premium Label Supply, our online label templates make label creation simple. Whether you’re a small business owner or a DIY enthusiast, our templates are designed to meet your labeling needs with precision and ease. Our easy-to-use templates not only save time but allow you to customize your labels and stickers. Premium Label Supply offers an extensive range of free label templates, perfect for any application. Explore the Efficiency of Label Templates at Premium Label SupplyĮmbrace the power of label templates to transform your labeling projects. After he fucked her, he wants to swallow her, she resists with the last of her strength. He fucks her both in the pussy and in the ass. His dick is too big for her small hole, but he fuck her hard anyway. As a result, she falls exhausted on the bed, and Cell starts to penetrate her pussy. He holds her tight and she can't break free. She refuses, but in the end he forces her to do him blowjob. He continued to suck her and got to her pussy. He sucks all the strength out of her, and she can't move. Android 18 can't stand this kind of treatment. He undresses her and starts sucking her toes, and then her nipples. Android 18 is still trying to fight back. Character: android 18(410) Alice.Blood Re: Sennou Kyouiku-shitsu Jinzou Ningen 18-gou Hen Sono Ichi (Dragon Ball Z) Q Doujin Ero Jii-san to Ecchi na Keiyaku o Shita Bakunyuu Hitozuma (Dragon Ball Z) English Carl Kouga-dou (Kotoyoshi Yumisuke, Shibari Kana) D. No other sex tube is more popular and features more Android 18 Hentai scenes than Pornhub Browse through our impressive selection of porn videos in HD quality on any device you own. Discover the growing collection of high quality Most Relevant XXX movies and clips. Android 18 is angry, and Cell thinks how he will start to fuck her. Watch Android 18 Hentai porn videos for free, here on. He also dealt with Krillin with one punch. Android 18 tried to do it, but at the last second, Cell grabbed her leg. Krillin tries to help her and asks her to run away. It was Cell, he finally found Android 18. Witness the best collection of premium Android 18 hentai artwork made by notoriously talented artist all over internet for free on SaradaHentai. The couple was about to kiss, when suddenly something happened. Android 18 Bubble Butt by araneesama Dragon Ball. View and download Android 18 and Trunks porn comic free on IMHentai. It turned out that he was looking for her and her brother. Favourite (182) Download ( 711) Fapped (41) register. She immediately remembered him, since they already had cool sex before. He asks not to be afraid of him, as he does not want to harm her. Suddenly she heard a rustle, turned around and saw a short Krillin. She was left alone, without her brother and any friends. She hides and is afraid that he will find and kill her. You will also see minor characters - Android 18 (Lazuli) and Krillin. NB: no ****** to comply with the rules of the site, so for sexual intercourse, add other characters, but only girls and only from the four animes proposed.In this multi-part cartoon the main character is Cell from Dragon Ball Z. Action: A ****** and ******** celebrate the new year. Breasts and pussy: ****** (huge breasts and shaved or very hairy pussy) girl (large breasts and shaved or slightly hairy pussy). (possible to mix, example: ****** in underwear and ******** only panties) Below their dress, three possible choices: very sexy underwear, completely naked, or only panties at the artist's choice. Build your Android 18 porno collection all for FREE Sex.com is made for adult by Android 18 porn lover like you. Clothes: For both, evening dresses, or kimono, completely transparent so that we can see the underwear of the characters. Sex.com is updated by our users community with new Android 18 Pics every day We have the largest library of xxx Pics on the web. Possible to modify a boy into a girl, even to create a girl (she must look like her ******) Anime: Dragon Ball, Fairy Tail, One Piece, Naruto (at the artist's choice among these four animes, thanks) Multi-artist: maximum: 9 artists, Maximum number of votes: 100 votes. However these mechanisms have not been widely accepted. ( 10) in his series of 5 patients with paracentral disc herniation, suggested a similar mechanism resulting in compression of the contralateral nerve root against the facet joint. ( 13) proposed that inconsistent dural attachments to the posterior longitudinal ligaments holds the lumbar nerve roots at certain levels resulting in a more symptomatic traction of the contralateral nerve root. The mechanism for lumbar disc herniation presenting with contralateral leg symptoms is poorly understood ( 10, 11). This phenomenon suggests that the disc herniation at L5/S1 is indeed the cause of patient’s symptoms despite being on the contralateral side. To the best of the author’s knowledge, this case is unique because a successful foraminal block delivered on the symptomatic side not only re-localizes the leg symptoms to the side of lesion, but also gave transient relief to the patient’s symptoms. Despite the fact that several cases have been reported in the literature of patients who presented with contralateral leg symptoms ( 10- 12), it remains difficult to recommend surgery in general to these patients with discordant symptoms. Surgery may be indicated in selected patients who are refractory to conservative management if leg symptoms are concordant with MRI scans ( 5). Radiculopathy from lumbar disc herniation can be a result of mechanical compression ( 8), ischaemia ( 8) or inflammatory irritation ( 9) of the nerve root. His left leg symptoms resolved completely after the surgery up to 1 year of follow-up. A repeat MRI was not performed as there was no precipitating event or inciting trauma during this period. Given the concordance between his current clinical symptoms and the MRI findings this time, he underwent a left L5/S1 microdiscectomy. Straight leg raise was positive at 40 degrees on the left side. Neurological examination of his lower limbs was normal. There was again no precipitating event or inciting trauma. This was associated with paresthesia over his left posterior thigh. Six weeks after the foraminal block, the patient presented with a 5-day insidious onset of low back pain radiating down his left posterior thigh and leg. He had complete resolution of the pain in his right lower limb and went back to work for the next 6 weeks. The foraminal block was performed successfully with Shincort and Marcaine in a 1:1 ratio (total 3 mL) under fluoroscopic guidance. There was no abnormality in the facet joints or the ligamentum flavum.Īs the symptoms were on the right side, the patient was counseled for a right L5/S1 foraminal block for both diagnostic and therapeutic purposes. There was no prolapsed disc seen on the right side or at the L4/5 level despite evidence of disc degeneration ( Figure 3). MRI of his lumbar spine showed a left-sided paracentral disc herniation at L5/S1 causing stenosis of the left lateral recess ( Figures 1, 2). Upon review at 6 weeks, his symptoms did not improve. He was managed conservatively with physiotherapy and analgesia. Plain X-rays of the lumbar spine was normal. Straight leg raise was negative bilaterally. Examination revealed weakness in the right flexor hallucis longus of grade 4, with an otherwise normal neurological examination. He did not have any associated lower limb paresthesia or weakness, and did not have any bowel or bladder incontinence. The patient did not recall any inciting trauma. We report a unique case of left lumbar disc herniation at L5/S1 who presented with right-sided symptoms and successfully treated with a right L5/S1 foraminal block.Ī 24-year-old gentleman who worked as a bellboy, presented with a 5-month history of low back pain radiating down his right buttock, posterior thigh and posterior leg. In such cases, surgery should be avoided. Contralateral leg symptoms cast doubt on the diagnosis as many herniated discs are asymptomatic ( 2, 3). Although it is often diagnosed clinically, an MRI is needed to confirm the diagnosis and localize the pathology prior to any forms of intervention ( 6, 7). It usually presents with varying degrees of pain, numbness and weakness in the distribution of the affected nerve root ( 4, 5). Lumbar disc herniation is common ( 1- 3) and may be symptomatic ( 1, 4). Keywords: Prolapsed disc herniated disc intervertebral disc displacement nerve root inflammation nerve root disorder Policy of Dealing with Allegations of Research Misconduct.Policy of Screening for Plagiarism Process. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |