Low Back Patterns of Pain: Classification Based on Clinical Presentation

2021 ◽  
pp. 3-25
Author(s):  
Hamilton Hall
Keyword(s):  
Clinical Presentation ◽  
Low Back

scholarly journals Clinical importance of anatomical variants of sciatic nerve in relation to the piriformis muscle

2012 ◽  
Vol 01 (04) ◽  
pp. 160-164
Author(s):  
Rashmi Deopujari ◽  
Dibya Kishore Satpathi ◽  
Ashutosh S. Mangalgiri
Keyword(s):  
Sciatic Nerve ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Clinical Importance ◽  
Common Peroneal Nerve ◽  
Low Back ◽  
Piriformis Muscle ◽  
Anatomical Variant ◽  
Back Ache ◽  
Unusual Variant

Abstract Background and aims : The sciatic nerve usually emerges below the Piriformis muscle. Each anatomical variant of sciatic nerve is associated with a specific clinical presentation. The aim of the study was to identify the variants of sciatic nerve and to discuss their clinical importance. Materials and methods : Twenty one embalmed cadavers of known age and sex were used for this study. Gluteal regions of both sides were dissected to expose sciatic nerve. Variation of sciatic nerve in relation to piriformis was observed. Results and Conclusion: Out of the 42 dissected specimens - Five showed variations in sciatic nerve. Three specimens (two on right and one on left side) displayed common peroneal branch passing through piriformis. Three specimens (two on right and one on left side) showed tibial nerve emerging below piriformis.ln one specimen on left side common peroneal nerve emerged as two parts in relation to piriformis - one passing through piriformis and another below piriformis. A very unusual variant in which the tibial and common peroneal components of sciatic nerve were sandwiched between the three heads of piriformis muscle is also reported here in one case of right side. These variants are usually misdiagnosed in most of the cases due to similarity of clinical symptoms with low back ache and sciatica. Therefore the possibility of each such variant should be kept in mind by the clinicians.

scholarly journals Pregnancy in Patients With Low Back Pain

2019 ◽  
Vol 6 (3) ◽  
pp. 79-82
Author(s):  
Afsoun Seddighi ◽  
Amir Saied Seddighi ◽  
Shiva Jamshidi ◽  
Hesam Rahimi Baghdashti
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Clinical Presentation ◽  
Review Article ◽  
Weight Lifting ◽  
Present Review ◽  
Pelvic Girdle Pain ◽  
Low Back ◽  
Low Education

Pregnancy-related lumbopelvic pain has been a serious and common problem since ancient time. The present review article focuses on terminology, types, clinical presentation, and management of these problems. There are two entities regarding pregnancy-related lumbopelvic pain: pelvic girdle pain (PGP), and pregnancy-related low back pain (LBP). There are multiple mechanisms behind these disabilities. Age, multiparty, heavy weight lifting, hard physical activity, previous LBP, and low education increase the prevalence. About one-half of women with pregnancy-related lumbopelvic pain have PGP, one-third LBP, and one-sixth have both conditions. Overall, the literature reveals that PGP deserves serious attention from the clinical and economic standpoints.

scholarly journals Plain lumbosacral X-rays for low back pain: Findings correlate with clinical presentation in primary care settings

2020 ◽  
Vol 9 (12) ◽  
pp. 6115
Author(s):  
Mohammed AlAteeq ◽  
AbdelelahA Alseraihi ◽  
AbdulazizA Alhussaini ◽  
SultanA Binhasan ◽  
EmadA Ahmari
Keyword(s):  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Clinical Presentation ◽  
Low Back ◽  
X Rays ◽  
Primary Care Settings

scholarly journals Importance of screening in physical therapy: vertebral fracture of thoracolumbar junction in a recreational runner

2019 ◽  
Vol 12 (8) ◽  
pp. e229987 ◽  
Author(s):  
Filippo Maselli ◽  
Giacomo Rossettini ◽  
Antonello Viceconti ◽  
Marco Testa
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Signs And Symptoms ◽  
Low Back ◽  
Beneficial Effects ◽  
Recreational Runner ◽  
Red Flag ◽  
Recreational Runners ◽  
Potential Factors ◽  
Primary Problem

Running is one of the most popular sports worldwide. Studies suggest that 11%–85% of recreational runners have at least one running-related injury (RRI) each year, resulting in a reduction or interruption in training. A high risk for running-related injuries (RRIs) represents an important inconvenience counterbalancing the beneficial effects of running. RRIs primarily affect the joints of the lower limb and lumbar spine. Noteworthy, in some cases, the clinical presentation of signs and symptoms is confusing and may hide serious conditions; thus, clinicians have to pay special attention when potential factors arise, such as the presence of red flags. As reported in this case report, patients can present with low back pain (LBP) as a primary problem, mimicking a red flag such as a fracture of the spine. The aim of this case report was to describe a case of a recreational runner presenting with LBP as the sole symptom of an underlying thoracolumbar fracture.

scholarly journals Clinical presentation of low back pain and association with risk factors according to findings on magnetic resonance imaging

Pain ◽  
2011 ◽  
Vol 152 (7) ◽  
pp. 1659-1665 ◽  
Author(s):  
James Shambrook ◽  
Philip McNee ◽  
Clare E. Harris ◽  
Miranda Kim ◽  
Madeleine Sampson ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Clinical Presentation ◽  
Low Back ◽  
Resonance Imaging

Concomitant Conus Medullaris Ependymoma and Filum Terminale Lipoma: Case Report

Neurosurgery ◽  
2006 ◽  
Vol 58 (6) ◽  
pp. E1214-E1214 ◽  
Author(s):  
Gary L. Gallia ◽  
Peter C. Burger ◽  
Ian Suk ◽  
Carlos A. Bagley ◽  
Jean-Paul Wolinsky ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Bladder Dysfunction ◽  
Histopathological Examination ◽  
Cauda Equina ◽  
Conus Medullaris ◽  
Low Back ◽  
Filum Terminale ◽  
Resonance Imaging ◽  
Radiographic Findings ◽  
Bowel And Bladder Dysfunction

Abstract OBJECTIVE: Ependymomas of the conus medullaris-cauda equina-filum terminale region are typically solitary lesions. In this report, we describe the clinical presentation, radiographic findings, operative details, and pathological features of a patient with a conus medullaris ependymoma and a filum terminale lipoma. CLINICAL PRESENTATION: A 40-year-old woman presented with increasing low back pain and bowel and bladder dysfunction. Magnetic resonance imaging revealed a partially cystic enhancing lesion at the conus medullaris and a T1-weighted hyperintense mass within the filum terminale. INTERVENTION: An L2-L3 laminotomy/laminoplasty was performed for gross total resection of the mass. Histopathological examination demonstrated a conus medullaris ependymoma and filum terminale lipoma. The patient experienced complete resolution of her preoperative symptoms. CONCLUSION: Spinal cord ependymomas are almost exclusively single lesions and their coexistence with other pathological entities is rare. In this report, we describe a patient with a concomitant conus medullaris ependymoma and filum terminale lipoma.

scholarly journals Surfer's myelopathy: case report and review

CJEM ◽  
2011 ◽  
Vol 13 (05) ◽  
pp. 357-360 ◽  
Author(s):  
Amna Karabegovic ◽  
Shirley Strachan-Jackman ◽  
David Carr
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Lower Extremity ◽  
Clinical Presentation ◽  
Low Back ◽  
Lower Extremity Weakness ◽  
Cord Injury ◽  
Patient Reported ◽  
History Of ◽  
Sensory Changes

ABSTRACTNontraumatic spinal cord injury from surfing is a new entity first described in 2004 and likely of ischemic etiology. We report the case of a 25-year-old man who presented to the emergency department with a 2-week history of lower extremity weakness after surfing in Indonesia. The patient reported developing low back pain, lower extremity weakness, sensory changes, and urinary retention shortly after his first surfing lesson. The patient was subsequently diagnosed with surfer's myelopathy. The purpose of this report is to review the clinical presentation, etiology, risk factors, and management of this increasingly described entity.

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