Lumbar Disc Herniation Clinical Symptom Score

low back pain

none

3

occasional mild pain

2

frequent mild

1

occasional severe pain

1

frequent pain

0

continuous pain

0

leg pain and/or tingling

none

3

occasional slight symptoms

2

frequent slight symptoms

1

occasional severe symptoms

1

frequent severe symptoms

0

continuous severe symptoms

0

gait

normal

3

able to walk > 500 meters although it results in pain, tingling and/or muscle weakness

2

unable to walk > 500 meters owing to leg pain, tingling and/or muscle weakness

1

unable to walk > 100 meters owing to leg pain, tingling and/or muscle weakness

0

straight leg raising (includes a tight hamstring)

normal (> 70°)

2

30 to 70°

1

< 30°

0

sensory disturbance

none

2

slight disturbance (not subjective)

1

marked disturbance

0

motor disturbance

normal (Grade 5)

2

slight weakness (Grade 4)

1

marked weakness (Grades 0 to 3)

0

turn over while lying

no restriction

2

moderate restriction

1

severe restriction

0

standing

no restriction

2

moderate restriction

1

severe restriction

0

washing

no restriction

2

moderate restriction

1

severe restriction

0

leaning forward

no restriction

2

moderate restriction

1

severe restriction

0

sitting about 1 hour

no restriction

2

moderate restriction

1

severe restriction

0

lifting or holding a heavy object

no restriction

2

moderate restriction

1

severe restriction

0

walking

no restriction

2

moderate restriction

1

severe restriction

0

urinary bladder function

normal

0

mild dysuria

-3

severe dysuria

-6