52yr old male comes into ED complaining of extreme left lower extremity pain, shooting from his left lower back to his left foot, going on for the past 3 weeks. The pain is described as '10/10', throbbing in nature, persists through walking and at rest and 'is unbearable'--it keeps the patient from sleeping and has made him depressed. No appreciable weakness or numbness in any extremities. The patient has tried taking oxycodone 30mg every 4 hours, with minimal benefit. Of note, the patient tried cocaine yesterday in hopes of alleviating the pain--that also did not help.
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