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Dural symptoms Dural symptoms are back pain, suprascapular, or gluteal pain on coughing or sneezing. In the thoracic spine pain (anterior and/or posterior) on taking a deep breath could be a dural symptom. Pain in the gluteal area on coughing could be a dural symptom too, but could also be the result of a sacro iliac arthritis. Pain in the leg on coughing could be the result of a primary posterolateral protrusion or a neuroma.
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