![]() Lumbar back pain can result from several conditions ranging from facet joint arthropathy to muscular strain. The pain is mainly localised in the back as the term suggests, and tends to arise from locally affected structures. Sciatica, on the other hand, has a different pattern of pain in terms of distribution and is caused by irritation of a nerve root. ![]() This can occur due to the direct compressive effects of an intervertebral disc herniation on a nerve root or an underlying inflammatory process, such as infection causing acute pain in the distribution of a dermatome.Ĭlaudication is traditionally divided into two categories: neurogenic or vasogenic, depending on the underlying cause. It is often described as impaired mobility and dull aching pain in the lower limbs. Central vertebral canal stenosis is a common cause of neurogenic claudication and has a variable pattern, while vascular claudication it is more consistent and reproducible. The importance of determining symptom chronicity and identifying 'red flags' in the history and clinical examination, such as fevers and perineum paraesthesia, are crucial in the formulation of the clinical diagnosis and differentiating benign causes, such as musculoskeletal strain, from more serious conditions such as epidural abscesses or spinal metastases. Certain risk factors such as the patient's age, medication history (eg. steroid use) and pattern of stiffness may also raise suspicion of ankylosing spondylitis or compression fractures. This would direct further investigation with appropriate serum tests and imaging. Guidelines, such as those developed by the American College of Physicians and Pain Society, can direct diagnostic testing for 'red flag' causes of lumbar back pain. If this is your first playthrough in the game, then the Berserker may not be for you.Magnetic resonance imaging utilises proton resonance technology to obtain soft tissue cross-sectional representations of the spine. The Berserker is meant to be played with a more strategic play style, and require loads more of skill and situational awareness to prosper in. The struggles are most notable when encountering hoards of enemies at once, or boss battles. This class is remarkably slow and sluggish, which shows in battle. Single target and AOE damage are lousy with the Berserker. However, the Priest plays a critical role in a collaborative setting, amongst other classes who all play a specfic role between one another. The Priest isn’t recommended to be played solo. ![]() The Priest specializes in shields, healing, and ranged attacks – a true support class amongst the other classes. The Priest encounters challenges when fighting against groups. Having your enemies knocked down to the ground is a sure way to eliminate them in a timely fashion when the rest of your team is contributing accordingly. This is incredibly valuable when working in teams. The reason being, is the knockdown ability of the Crusader. The Crusader works excellently when working as more of a front-line support role with your squad. It’s AOE potential is limited, while it’s solo damage is moderate. The Mage pairs well in group settings with fellow heroes, and if you plan on playing Bless cooperatively with your friends, then utilizing the Mage in your party is a recipe for success.Įasily more of a higher-tiered character, the Crusader’s strengths lie in its blessing potential and group fighting. The Mage’s weakness, though, is that it suffers in single target encounters. The combination of this and its ranged arcane ability make the character a force to be reckoned with. In the later game, the Mage excels in blessing potential. ![]() Mages are masters of arcane ability and utilize the elements around them to take care of their enemies – Exceptional AOE damage and overall utility. ![]() Overall, the Ranger’s single-target damage is comparatively unmatched between the other classes. The Ranger is especially ideal if your play style is a more lone wolf fashion. If you encounter groups of enemies alone, you’re going to have a tough time overcoming the whole group. However, the Ranger has limited AOE damage. Even enemies that are a few levels higher then you can be defeated with reasonable effort. Most enemies you encounter 1v1 with the Ranger will be a cakewalk. Rangers are expert survivalists that specialize in fighting from a distance – the single-target extraordinaire class – and the Ranger is, by far, the best in this category. ![]()
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