MRI Diagnosis of Lumbar Vertebral Margin Dissection in Athletes

2020 ◽  
Vol 10 (8) ◽  
pp. 1933-1937
Author(s):  
Ligang Wang ◽  
Puente Toress
Keyword(s):  
Lower Limb ◽  
Low Back ◽  
Resonance Imaging ◽  
Limb Pain ◽  
Invasive Treatment ◽  
Obvious Effect ◽  
Lower Limb Pain ◽  
Significant Difference ◽  
Mri Diagnosis ◽  
Magnetic Resonance Imaging Mri

In order to provide molecular pathological basis for the study of the pathogenesis of posterior vertebrolysis and explore the feasibility of minimally invasive treatment (MED) for posterior vertebrolysis, MacNab modified three months after operation is used to evaluate the effect of operation. All patients undergo lumbar spine radiography and magnetic resonance imaging (MRI). The results show that there is significant difference between one week after operation and one week after operation (P < 0.05), and there is significant difference between three months after operation and one week after operation (P < 0.05). Surgical treatment has obvious effect on relieving low back pain and lower limb pain. It can be concluded that the MRI diagnosis of athletes’ posterior vertebrolysis can reflect the pathological morphology more comprehensively and is of great significance for clinical diagnosis and treatment.

scholarly journals Chronic Knee and Ankle Pain Treatment through Selective Microsurgical Approaches: A Minimally Invasive Option in the Treatment Algorithm for Refractory Lower Limb Pain

2020 ◽  
Author(s):  
Giorgio Pietramaggiori ◽  
Gianluca Sapino ◽  
Giorgio De Santis ◽  
Franco Bassetto ◽  
Saja Scherer
Keyword(s):  
Chronic Pain ◽  
Minimally Invasive ◽  
Peripheral Nerve ◽  
Lower Limb ◽  
Treatment Algorithm ◽  
Ankle Pain ◽  
Limb Pain ◽  
Lower Limb Pain ◽  
Significant Difference ◽  
Nerve Surgery

Abstract Background Injury or compression of a sensory nerve is an under-reported source of disabling pain in the lower limb. It is known that peripheral nerve microsurgeons can reconstruct and rewire injured nerves to relieve chronic pain but this option remains not completely understood and ignored by most orthopaedic surgeons, neurologists, and pain therapists. In this paper, we describe our experience with knee and ankle peripheral nerve surgery to improve the condition of patients suffering from chronic, posttraumatic lower limb pain. Patients and Methods Between 2015 and 2018, a retrospective investigation was performed including patients who underwent ankle and knee nerve surgery for posttraumatic chronic pain with at least 1 year of follow-up. Previous surgeries or type of trauma, pain location and characteristics, type of operation (reconstruction, decompression, or denervation), and number of nerves operated were listed. Selective neuropathy was confirmed by ultrasound-guided nerve blocks. Outcome was assessed combining the visual analogue scale (VAS) score at rest and during movement, functional indexes, drug use, and ability to work. Results A total of 34 patients (14 knee and 20 ankle) were included in this study. A statistically significant difference (p < 0.05%) in postoperative pain at rest and during activity was seen in both groups of patients. Good to excellent outcomes were recorded in 92 and 80% of patients treated, respectively, at the knee and the ankle levels. No major complications occurred, while a secondary procedure due to neuroma recurrence was necessary in seven patients (three knees and four ankles). Conclusion Peripheral nerve microsurgery is a useful and minimally invasive tool to be added in the algorithm of treatment of chronic knee and ankle pain. Physicians should be trained to suspect a neuropathic origin of pain in absence of musculoskeletal signs of pathology, especially following trauma or surgeries.

scholarly journals Profil Magnetic Resonance Imaging Lumbosakral pada Penderita dengan Nyeri Punggung Bawah di Bagian/Instalasi Radiologi FK Unsrat/RSUP Prof. Dr. R. D Kandou Manado Periode April - Oktober 2019

e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Ryan D. Wilyo ◽  
Alfa G. E. Y. Rondo ◽  
Vonny N. Tubagus
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Magnetic Resonance ◽  
Ligamentum Flavum ◽  
Spinal Canal Stenosis ◽  
Low Back ◽  
Resonance Imaging ◽  
Canal Stenosis ◽  
Mri Diagnosis ◽  
Magnetic Resonance Imaging Mri

Abstract: Low back pain (LBP) is still a common health problem. Magnetic resonance imaging (MRI) examination is the best radiological modality if pain originated from soft tissue is suspected. This study was aimed to determine the profile of MRI in patients with LBP. Tjis was a retrospective and descriptive study. Data were obtained from the PACS computer in the Radiology Department. The results obtained 112 patients with MRI examination. Most patients were female as many as 59 patients (51.75%), and the most frequent age group was > 50 years as many as 69 patients (60.53%). The most common MRI diagnosis was disc herniation of bulging type in 86 patients (76.78%) especially in L4-L5 and L5-S1, followed by spinal canal stenosis in 49 patients (43.75%), ligamentum flavum hypertrophy in 44 patients (39.28%), and nerve root compression in 40 patients (35.71%). In conclusion, the most common profile of MRI diagnosis among patients with LBP was disc herniation of bulging type located in L4-L5 and L5-S1, followed by spinal canal stenosis, ligamentum flavum hypertrophy, dan nerve root compression.Keywords: low back pain, magnetic resonance imaging Abstrak: Nyeri punggung bawah (NPB) masih merupakan masalah kesehatan yang sering terjadi. Pemeriksaan magnetic resonance imaging (MRI) merupakan modalitas radiologis terbaik bila dicurigai nyeri berasal dari jaringan lunak. Penelitian ini bertujuan untuk mengetahui profil MRI pada penderita dengan NPB. Jenis penelitian ialah deskriptif retrospektif. Data diperoleh melalui komputer PACS di Bagian Radiologi Fakultas Kedokteran Universitas Sam Ratulangi Manado. Hasil penelitian mendapatkan 112 pasien dengan diagnosis MRI, yang terbanyak ialah perempuan berjumlah 59 orang (51,75%). Kelompok usia yang paling sering ialah >50 tahun sebanyak 69 pasien (60,53%). Profil MRI yang paling banyak ditemukan berupa herniasi diskus pada 86 pasien (76,78%) dengan tipe terbanyak ialah bulging, dan lokasi tersering pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis 49 pasien (43,75%), hipertrofi ligamentum flavum 44 pasien (39,28%), dan kompresi akar saraf 40 pasien (35,71%). Simpulan penelitian ini ialah profil MRI pada pasien dengan NPB yang terbanyak ialah herniasi diskus dengan tipe bulging pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis, hipertrofi ligamentum flavum, dan kompresi akar saraf.Kata kunci: nyeri punggung bawah, magnetic resonance imaging

scholarly journals Profil Magnetic Resonance Imaging Lumbosakral pada Penderita dengan Nyeri Punggung Bawah di Bagian/Instalasi Radiologi FK Unsrat/RSUP Prof. Dr. R. D Kandou Manado Periode April - Oktober 2019

e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Ryan D. Wilyo ◽  
Alfa G. E. Y. Rondo ◽  
Vonny N. Tubagus
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Magnetic Resonance ◽  
Ligamentum Flavum ◽  
Spinal Canal Stenosis ◽  
Low Back ◽  
Resonance Imaging ◽  
Canal Stenosis ◽  
Mri Diagnosis ◽  
Magnetic Resonance Imaging Mri

Abstract: Low back pain (LBP) is still a common health problem. Magnetic resonance imaging (MRI) examination is the best radiological modality if pain originated from soft tissue is suspected. This study was aimed to determine the profile of MRI in patients with LBP. Tjis was a retrospective and descriptive study. Data were obtained from the PACS computer in the Radiology Department. The results obtained 112 patients with MRI examination. Most patients were female as many as 59 patients (51.75%), and the most frequent age group was > 50 years as many as 69 patients (60.53%). The most common MRI diagnosis was disc herniation of bulging type in 86 patients (76.78%) especially in L4-L5 and L5-S1, followed by spinal canal stenosis in 49 patients (43.75%), ligamentum flavum hypertrophy in 44 patients (39.28%), and nerve root compression in 40 patients (35.71%). In conclusion, the most common profile of MRI diagnosis among patients with LBP was disc herniation of bulging type located in L4-L5 and L5-S1, followed by spinal canal stenosis, ligamentum flavum hypertrophy, dan nerve root compression.Keywords: low back pain, magnetic resonance imaging Abstrak: Nyeri punggung bawah (NPB) masih merupakan masalah kesehatan yang sering terjadi. Pemeriksaan magnetic resonance imaging (MRI) merupakan modalitas radiologis terbaik bila dicurigai nyeri berasal dari jaringan lunak. Penelitian ini bertujuan untuk mengetahui profil MRI pada penderita dengan NPB. Jenis penelitian ialah deskriptif retrospektif. Data diperoleh melalui komputer PACS di Bagian Radiologi Fakultas Kedokteran Universitas Sam Ratulangi Manado. Hasil penelitian mendapatkan 112 pasien dengan diagnosis MRI, yang terbanyak ialah perempuan berjumlah 59 orang (51,75%). Kelompok usia yang paling sering ialah >50 tahun sebanyak 69 pasien (60,53%). Profil MRI yang paling banyak ditemukan berupa herniasi diskus pada 86 pasien (76,78%) dengan tipe terbanyak ialah bulging, dan lokasi tersering pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis 49 pasien (43,75%), hipertrofi ligamentum flavum 44 pasien (39,28%), dan kompresi akar saraf 40 pasien (35,71%). Simpulan penelitian ini ialah profil MRI pada pasien dengan NPB yang terbanyak ialah herniasi diskus dengan tipe bulging pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis, hipertrofi ligamentum flavum, dan kompresi akar saraf.Kata kunci: nyeri punggung bawah, magnetic resonance imaging

scholarly journals Is adiposity associated with back and lower limb pain? A systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256720
Author(s):  
Waruna L. Peiris ◽  
Flavia M. Cicuttini ◽  
Sultana Monira Hussain ◽  
Mahnuma M. Estee ◽  
Lorena Romero ◽  
...  
Keyword(s):  
Systematic Review ◽  
Musculoskeletal Pain ◽  
Lower Limb ◽  
Evidence Synthesis ◽  
Risk Of Bias ◽  
Low Back ◽  
Foot Pain ◽  
Limb Pain ◽  
Lower Limb Pain ◽  
Best Evidence Synthesis

Background Back and lower limb pain have a major impact on physical function and quality of life. While obesity is a modifiable risk factor for musculoskeletal pain, the role of adiposity is less clear. This systematic review aimed to examine the relationship between both adiposity and its distribution and back and lower limb pain. Methods A systematic search of electronic databases was conducted to identify studies that examined the association between anthropometric and/or direct measures of adiposity and site specific musculoskeletal pain. Risk of bias was assessed and a best evidence synthesis was performed. Results A total of 56 studies were identified which examined 4 pain regions, including the lower back (36 studies), hip (two studies), knee (13 studies) and foot (eight studies). 31(55%) studies were assessed as having low to moderate risk of bias. 17(30%) studies were cohort in design. The best evidence synthesis provided evidence of a relationship between central adiposity and low back and knee pain, but not hip or foot pain. There was also evidence of a longitudinal relationship between adiposity and the presence of back, knee and foot pain, as well as incident and increasing foot pain. Conclusions This systematic review provides evidence of an association between both body fat and its central distribution and low back and knee pain, and a longitudinal relationship between adiposity and back, knee and foot pain. These results highlight the potential for targeting adiposity in the development of novel treatments at these sites.

Percutaneous pulsed radiofrequency applied to the L-2 dorsal root ganglion for treatment of chronic low-back pain: 3-year experience

2010 ◽  
Vol 12 (2) ◽  
pp. 190-196 ◽  
Author(s):  
Hsi-Kai Tsou ◽  
Shao-Ching Chao ◽  
Chao-Jan Wang ◽  
Hsien-Te Chen ◽  
Chiung-Chyi Shen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Relief ◽  
Chronic Low Back Pain ◽  
Lower Limb ◽  
Low Back ◽  
Pulsed Radiofrequency ◽  
Limb Pain ◽  
Lower Limb Pain

Object The authors assessed the effectiveness of percutaneous pulsed radiofrequency treatment for providing pain relief in patients with chronic low-back pain with or without lower-limb pain. Methods Data were obtained in 127 patients who had chronic low-back pain with or without lower-limb pain due to a herniated intervertebral disc or previous failed back surgery and who underwent pulsed radiofrequency treatment. Their conditions were proven by clinical features, physical examination, and imaging studies. Low-back pain was treated with pulsed radiofrequency applied to the L-2 dorsal root ganglion (DRG) and lower-limb pain was treated with pulsed radiofrequency applied to the L3–S1 DRG. Patients underwent uni- or bilateral treatment depending on whether their low-back pain was unilateral or bilateral. A visual analog scale was used to assess pain. The patients were followed up for 3 years postoperatively. Results In patients without lower-limb pain (Group A), 27 (55.10%) of 49 patients had initial improvement ≥ 50% at 3-month follow-up. At 1-year follow-up, 20 (44.44%) of 45 patients in Group A had pain relief ≥ 50%. An analysis of patients with pain relief ≥ 50% for at least 1 month showed that the greatest effect was at 3 months after treatment. In patients with low-back pain and lower-limb pain (Group B), 37 (47.44%) of 78 patients had initial improvement ≥ 50% at 3-month follow-up. At 1-year follow-up, 34 (45.95%) of 74 patients had pain relief effect ≥ 50%. An analysis of patients in Group B with pain relief ≥ 50% for at least 1 month showed that the greatest effect was at 1 month after treatment. Conclusions The results of this prospective analysis showed that treatment with pulsed radiofrequency applied at the L-2 DRG is safe and effective for treating for chronic low-back pain. Satisfactory pain relief was obtained in the majority of patients in Group A with the effect persisting for at least 3 months. The results indicate that pulsed radiofrequency provided intermediate-term relief of low-back pain. Further studies with long-term follow-up are necessary.

scholarly journals Compression of Dorsal Root Ganglion as a Cause of Low Back and/or Lower Limb Pain

1987 ◽  
Vol 36 (2) ◽  
pp. 498-503
Author(s):  
Takashi Shimauchi ◽  
Masanobu Oyama ◽  
Shinnosuke Kurose ◽  
Hiroshi Nakamura
Keyword(s):  
Dorsal Root Ganglion ◽  
Lower Limb ◽  
Dorsal Root ◽  
Low Back ◽  
Limb Pain ◽  
Lower Limb Pain

scholarly journals Examination of the regression model to quantify the degree of low back pain and lower limb symptoms in patients with lumbar disc herniation by the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243861
Author(s):  
Hayato Ishitani ◽  
Toshiyo Tamura ◽  
Shigehiko Kanaya ◽  
Hiroshi Fujimoto
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Regression Model ◽  
Lower Limb ◽  
Lumbar Disc ◽  
Low Back ◽  
Limb Pain ◽  
Pain Evaluation ◽  
Lower Back ◽  
Lower Limb Pain

The Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) was created to evaluate specific treatment outcomes in terms of physical functioning, social ability, and mental health in patients with back pain-related diseases. In this study, we investigated whether the JOABPEQ could be used to construct a regression model to quantify low back pain and lower limb symptoms in patients with lumbar disc herniation (LDH). We reviewed 114 patients with LDH scheduled to undergo surgery at our hospital. We measured the degrees of 1) lower back pain, 2) lower limb pain, and 3) lower limb numbness using the visual analog scale before the surgery. All answers and physical function data were subjected to partial least squares regression analysis. The degrees of lower back and lower limb pain could be used as a regression model from the JOABPEQ and had a significant causal relationship with them. However, the degree of lower limb numbness could not be used for the same. Based on our results, the questions of the JOABPEQ can be used to multilaterally understand the degree of lower back pain and lower limb pain in patients with LDH. However, the degree of lower limb numbness has no causal relationship, so actual measurement is essential.

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