Diagnostic brought in lomboradicular pain in the lower limbs. Lower limbs radicular pain are frequent. Most of them are caused by lumbar disc herniation or osteoarthritis spinal stenosis. Interrogation and clinical examination are the key stages of the diagnosis, allowing to detect signs of gravity and to rule out the differential diagnosis. The progress of radiological technics, in particular the MRI, considerably simplified the diagnostic approach, but require confronting, with a rigorous objectivity, imaging with the clinical data. The diagnostic approach has to answer two questions: does the symptoms correspond to a common lomboradicular pain or to an other explanation, tumoral for example? In case of common lomboradicular pain, is it a disc herniation, osteoarthritis, or lumbar spinal stenosis?
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Rev Prat
April 2016
Service de rhumatologie, groupe hospitalier Paris-Saint-Joseph, Paris, France.
Diagnostic brought in lomboradicular pain in the lower limbs. Lower limbs radicular pain are frequent. Most of them are caused by lumbar disc herniation or osteoarthritis spinal stenosis.
View Article and Find Full Text PDFJ Chir (Paris)
January 1989
Service d'Orthopédie-Traumatologie A, Hôtel-Dieu, Rennes.
In order to reduce refractory chronic pain of the musculoskeletal system, the orthopedic surgeon can stimulate electrically the peripheral nerves or the posterior funiculi of the spinal cord (epidural neurostimulation). The authors specify their current indications for epidural stimulation in the treatment of such painful diseases: radicular pain caused by arachnoepidurites, sequelae of trauma inflicted to the spine and medulla; postoperative lomboradicular pain of mixed source, and distal lesions of the plexus brachialis. The indication for an implant stems from a rigorous strategy which requires more particularly that pain regress by more than 50% under transcutaneous neurostimulation applied for a period of least one month and that the psychological and spinal-cerebral integrity be verified.
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