Jason is a 43-year-old male who is a software engineer. He presented with a 4-month history of severe low back pain that would radiate into his right buttock and down the back of his right leg. He also had pain and numbness on the bottom of his right foot. The numbness in his right foot was constant. His back, buttock, and leg pain were worse with standing, sitting, as well as flexion/extension of his spine. He described his pain as a stabbing “knife-like” pain that was increasing in severity. He denied any inciting event or trauma prior to his symptoms. He had modified his activity without a significant reduction in his symptoms. He had tried NSAIDs (e.g., Aleve), chiropractic care, massage, heat/ice, and physical therapy without significant long-term relief. He was particularly concerned since his symptoms were progressive and he was unable to sleep for more than 2 hours at a time.