99 results match your criteria: "Lumbosacral Facet Syndrome"
[Control of neuropathic pain in lumbosacral dorsalgia].
Zh Nevrol Psikhiatr Im S S Korsakova
December 2024
Academian I.P. Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.
The literature sources devoted to the problem of the formation of neuropathic pain in lumbosacral dorsalgia and the effective treatment regimens used are analyzed. The clinical and pathogenetic justification of the appointment of complex drug treatment is presented, taking into account the most significant causes of acute and chronic nonspecific back pain - radicular, facet, musculotonic syndromes. It has been shown that the most effective drugs are antiepileptic drugs, nonsteroidal anti-inflammatory drugs, muscle relaxants of central prologued action.
View Article and Find Full Text PDFMusculoskeletal mimics for lumbosacral radiculopathy. Part 2: Specific disorders.
Muscle Nerve
January 2025
Department of Physical Medicine and Rehabilitation, Michigan Medicine, Ann Arbor, Michigan, USA.
Article Synopsis
- * The text highlights key musculoskeletal mimickers like facet arthropathy, myofascial pain syndrome, and hip pathology, emphasizing the importance of recognizing specific examination features for accurate diagnosis.
- * Treatment for these mimickers usually involves conservative methods such as physical therapy and anti-inflammatory medications, with surgery being a rare option, and diagnostic injections often necessary for confirmation.
[Long-term postoperative outcomes in patients with lumbosacral spine synovial cysts].
Zh Vopr Neirokhir Im N N Burdenko
October 2024
Burdenko Neurosurgical Center, Moscow, Russia.
Unlabelled: Searching of literature data revealed only a few reports devoted to long-term postoperative outcomes in patients with lumbosacral spine synovial cysts. These results are ambiguous and largely contradictory.
Objective: To analyze the long-term postoperative outcomes in patients with lumbosacral spine synovial cysts.
Musculoskeletal mimics of lumbosacral radiculopathy.
Muscle Nerve
May 2024
Division of Physical Medicine & Rehabilitation, Faculty of Medicine, University of Toronto, Toronto, Canada.
Article Synopsis
- Electrodiagnostic evaluations are often performed to assess patients suspected of having radiculopathy, a condition related to nerve irritation in the lower back.
- The review emphasizes the importance of distinguishing radicular pain from musculoskeletal disorders that can mimic its symptoms, such as pain in the lower extremities and sensory dysfunction.
- A systematic evaluation of physical examination findings and diagnostic techniques is crucial for accurate diagnosis, helping to avoid misdiagnosis and improve patient care, especially when differentiating between various musculoskeletal conditions.
Septic Arthritis of the Spinal Facet Joint: Review of 117 Cases.
Open Forum Infect Dis
March 2024
Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Article Synopsis
- Septic arthritis of the spinal facet joints is gaining recognition, especially with advancements in MRI, but its characteristics and treatment options remain unclear.
- A review of 101 past cases and 16 new cases revealed that most patients experienced fever and back or neck pain, with many showing signs of bacteremia and abscesses.
- Despite complications like abscesses, the prognosis is generally positive, with a 98% survival rate and minimal long-term neurological issues.
Septic arthritis of the facet joint is also a severe vertebral infection: A multicenter retrospective study of 65 patients.
Joint Bone Spine
July 2024
Department of Rheumatology, Rennes University Hospital, Rennes, France; University of Rennes, Inserm, INRAE, CHU of Rennes, Institut NUMECAN (Nutrition Metabolisms and Cancer), Rennes, France.
Article Synopsis
- Septic arthritis of the facet joints (SAFJ) is a rare and serious infection, mostly reported in male patients around 68 years old, with common symptoms including acute back pain and fever.
- A study conducted in five French medical centers included 65 patients, showing that it typically takes about 25 days to diagnose the condition, with Staphylococcus aureus identified as the leading pathogen in over 49% of cases.
- The study found high rates of complications such as neurological symptoms and infective endocarditis, with mortality rates at 9.2%, 18.5%, and 23% over one, two, and three years, indicating significant morbidity and mortality associated with SAFJ.
An Unexpected Complication Resulting from Radiofrequency Ablation for Treating Facet Joint Syndrome: A Case Report.
Medicina (Kaunas)
November 2023
Jesaeng-Euise Clinical Anatomy Center, Wonkwang University School of Medicine, Iksan 54538, Republic of Korea.
Article Synopsis
- * Radiofrequency ablation (RFA) is a common and effective treatment for chronic facet joint pain but carries a low risk of complications, which have been documented in the literature.
- * A case study illustrates third-degree skin burns after RFA, emphasizing the need for careful monitoring during the procedure to prevent complications and ensure patient safety.
[Posterior iliac crest low back pain].
Rev Med Liege
September 2023
Département de Médecine physique et Réadaptation fonctionnelle CHU Liège, Belgique.
Article Synopsis
- There are multiple causes of low back pain around the posterior iliac crest, including conditions like Maigne's syndrome, ilio-lumbar ligament syndrome, and L5/S1 facet syndrome.
- Maigne's syndrome involves painful vertebral dysfunction and requires careful examination of the spine and surrounding tissues for accurate diagnosis.
- Effective treatment typically includes manual therapy for the lumbosacral region and rehabilitation exercises to strengthen deep stabilizing muscles, often supplemented by local injections as needed.
Tension Distension Sign (Acevedo's Sign) for the Diagnosis of Lumbar Facet Syndrome: Technical Note.
World Neurosurg
November 2023
Neuroscience and Neurosurgery Department, Pontifical Xaverian University, Hospital Universitario San Ignacio, Bogotá, Colombia.
Article Synopsis
- - The treatment of low back pain has advanced based on better understanding of its underlying causes and mechanics, particularly concerning degenerative changes in the spine.
- - Facet joints are often the first to show signs of degeneration, leading to biomechanical overload and associated pain, but diagnosing lumbar facet syndrome can be challenging due to its nonspecific symptoms.
- - A new clinical sign, known as Tension Distension Signo sign (or Acevedo's sign), has been introduced to aid in the diagnosis since its description in 2004.
Traumatic L5/S1 bilateral locked facets with bilateral pars fractures - A case report.
Surg Neurol Int
June 2023
Department of Radiology, Liaquat National Hospital and Medical College, Karachi, Pakistan.
Article Synopsis
- Traumatic lumbosacral Grade I spondylolisthesis, though rare, involves dislocations of the vertebral facets and can occur from high-impact injuries like road traffic accidents.
- A case of a 25-year-old male showed he sustained multiple injuries, including bilateral locked facets and disc herniation, after an accident, but successfully recovered post-surgery.
- Early diagnosis and treatment of L5/S1 facet dislocations are crucial for effective realignment and stabilization.
Acupuncture for patients with Maigne's syndrome: A case series.
Medicine (Baltimore)
June 2023
KM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Article Synopsis
- Diagnosing low back pain (LBP) is essential for quick recovery, with Maigne's syndrome (MS) being a specific condition marked by nerve entrapment that leads to pain, though its mechanisms are not fully understood.
- This study involved six patients with LBP diagnosed with MS, confirmed through specific tests that indicated thoracolumbar junction syndrome.
- After receiving targeted acupuncture treatment, all patients reported symptom improvements, with some also showing better test results related to spinal compression, highlighting acupuncture as a potential effective relief method for MS-related pain.
Examining degenerative disease adjacent to lumbosacral transitional vertebrae: a retrospective cohort study.
J Neurosurg Spine
March 2023
1Center for Spine Health, Neurologic Institute, Cleveland Clinic, Cleveland.
Article Synopsis
- * Researchers compared 172 patients with Bertolotti syndrome to 71 control patients without the condition, assessing degenerative changes in the spinal segments above the LSTV using grading systems for various spinal conditions.
- * Results indicated that patients with Bertolotti syndrome had a significantly higher pelvic incidence compared to controls, suggesting that the syndrome may influence spinal alignment, although other factors like sacral slope did not show significant differences.
The Lead of Direct Adjuvant Intraoperative Foraminal Steroids' Infiltration.
Anesth Essays Res
September 2022
Department of Pediatric Neurology, Queen Rania Medical Center, Royal Medical Services, Amman, Jordan.
Article Synopsis
- Low back pain often involves issues like nerve root pain and entrapment, which can vary in management options.
- A study was conducted to evaluate the effectiveness of combining early decompressive surgery with intraoperative steroid injections for postoperative back pain.
- Results indicated that using steroid injections significantly improved pain scores, reduced the days off work, and lessened or eliminated the need for pain medication among patients with degenerative spine disease.
Chiropractic Services and Diagnoses for Low Back Pain in 3 U.S. Department of Defense Military Treatment Facilities: A Secondary Analysis of a Pragmatic Clinical Trial.
J Manipulative Physiol Ther
July 2022
Department of Orthopedic Surgery, Duke University, Durham, North Carolina.
Article Synopsis
- This study aimed to analyze the types of diagnoses and chiropractic treatments provided to military personnel suffering from low back pain (LBP) at three military treatment facilities.
- It involved a secondary analysis of a clinical trial where participants received usual medical care along with chiropractic services, noting the frequency and types of diagnoses and treatments used throughout the visits.
- The results highlighted that the majority of diagnoses were related to lumbalgia and included several types of pain categories, with chiropractic care largely comprising passive interventions like spinal manipulation alongside active therapies such as therapeutic exercises.
Article Synopsis
- Sarcopenia is a common muscle-wasting disease in older adults that complicates outcomes after spinal surgery, particularly in patients with conditions like spondylolisthesis.
- A case study of a 76-year-old man with chronic sarcopenia undergoing minimally invasive lumbar interbody fusion surgery showed significant recovery, with pain levels dropping from 9/10 to 0/10 in just two months post-operation.
- The study highlights the importance of using minimally invasive techniques and providing nutritional and exercise guidance to improve recovery in patients like this.
Cauda equina syndrome after unilateral medial branch blocks of the lower lumbar zygapophyseal joints.
Pain Pract
July 2022
EHC Hospital, Morges, Switzerland.
Article Synopsis
- A patient experienced paraparesis and sensory loss in both legs after receiving medial branch blocks following a herniated disk surgery, with MRI revealing ischemic lesions.
- The case suggests that the use of particulate steroids in spinal injections can lead to serious complications, prompting a recommendation against their use for such procedures.
Spinal cord stimulation in the approach to chronic pelvic pain: A case report and literature review.
Medicine (Baltimore)
December 2021
Pain Management Unit, Hospital de Manises, Valencia, Spain.
Article Synopsis
- Chronic pelvic pain (CPP) often results from injuries or surgeries but remains largely untreated due to the complexity of the affected area.
- A 46-year-old woman with chronic low back pain and CPP, stemming from multiple pelvic fractures, was diagnosed with severe lumbar spinal issues and nerve damage.
- She underwent a treatment combining medication and spinal cord stimulation, which led to significant pain reduction and improved quality of life within two weeks.
[PAIN SYNDROMES CAUSED BY DEGENERATIVE-DYSTROPHIC SPINE DAMAGE (REVIEW)].
Georgian Med News
May 2021
State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department, Department of Miniinvasive Surgery Kyiv, Ukraine.
Article Synopsis
- The study investigates various treatment methods for degenerative-dystrophic damage to the spine and aims to identify the most effective approaches based on the underlying causes of pain.
- It highlights the lack of consensus on effective treatments among healthcare providers, noting that no single therapy consistently alleviates symptoms of back pain and related syndromes.
- The research emphasizes the importance of combining rest, pain relief, and movement, with a focus on nonsteroidal anti-inflammatory drugs (NSAIDs) initially, and suggests more advanced local drug administration methods if initial treatments are ineffective.
Maigne Syndrome - A potentially treatable yet underdiagnosed cause of low back pain: A review.
J Back Musculoskelet Rehabil
January 2022
Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, St Joseph's Health Care, London, ON, Canada.
Article Synopsis
- Maigne Syndrome, identified by Dr. Robert Maigne in the late 1980s, is a treatable condition that can cause low back pain through two main types: a central variant related to facet joint changes, and a peripheral variant resulting from nerve impingement.
- This study reviewed literature from medical databases, screening 52 articles down to 28 relevant ones, covering areas like anatomy, nerve imaging, and treatment approaches for Maigne Syndrome.
- Key diagnostic factors include recognizing mechanical causes of back pain, understanding the anatomy involved, conducting specific clinical examinations, and using radiologically guided anesthetic blocks for treatment assessment.
The why, where, and how clinical reasoning model for the evaluation and treatment of patients with low back pain.
Braz J Phys Ther
October 2021
Doctor of Physical Therapy Program, Tufts University School of Medicine, Boston, MA, USA.
Background: There is considerable overlap between pain referral patterns from the lumbar disc, lumbar facets, the sacroiliac joint (SIJ), and the hip. Additionally, sciatic like symptoms may originate from the lumbar spine or secondary to extra-spinal sources such as deep gluteal syndrome (GPS). Given that there are several overlapping potential anatomic sources of symptoms that may be synchronous in patients who have low back pain (LBP), it may not be realistic that a linear deductive approach can be used to establish a diagnosis and direct treatment in this group of patients.
View Article and Find Full Text PDFLumbar medial branch cryoneurolysis under ultrasound guidance: initial report of five cases.
Med Ultrason
September 2020
Radiology and Ultrasound Department, Tirol Klinik, Innsbruck , Austria.
Article Synopsis
- The study evaluated the use of ultrasound-guided cryoneurolysis for treating facet joint syndrome, with a focus on feasibility and pain relief outcomes.* ! -
- Out of 20 patients assessed, 8 underwent the cryoneurolysis procedure, achieving 100% technical success with accurate needle placement and significant pain reduction over the following months.* ! -
- The findings support the use of ultrasound as an effective imaging method for this procedure, indicating it is both safe and beneficial for patients suffering from facet joint pain.* !