scholarly journals Arachnoid cyst at upper lumbar region - A case report

Mediscope ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 128-130
Author(s):  
Md Mohsin Ali Farazi ◽  
Ibrahim Khalil ◽  
Mamunur Rashid ◽  
SM Ikbal Kabir ◽  
Farhana Boby Moonmoon
Keyword(s):  
Low Back Pain ◽  
Case Report ◽  
Arachnoid Cyst ◽  
Young Male ◽  
Signs And Symptoms ◽  
Lumbosacral Spine ◽  
Dramatic Improvement ◽  
Lumbar Region ◽  
Low Back ◽  
Total Removal

A young male patient of 22 years was presented with the complaints of low back pain, hypoesthesia and inability to walk. MRI of lumbosacral spine reveals intradural mass lesion extending from L2-L3 with no enhancement of gadolinium. Hence an extensive laminectomy and total removal of the mass was done. Peroperative impression confirms arachnoid cyst. After operation there was dramatic improvement of signs and symptoms; patient was able to walk without support during discharge from the hospital after one week. Mediscope 2021;8(2): 128-130

scholarly journals Intradural Extramedullary Vascular Schwannoma at Upper Dorsal Level—A Case Report

2012 ◽  
Vol 22 (2) ◽  
pp. 103-105
Author(s):  
Md. Mohsin Ali Farazi ◽  
Sukumar Saha ◽  
Anirudho Sarder ◽  
Rabiul Iqbal
Keyword(s):  
Case Report ◽  
Hospital Medicine ◽  
Young Male ◽  
Signs And Symptoms ◽  
Dramatic Improvement ◽  
Dorsal Region ◽  
Total Removal ◽  
Intradural Extramedullary ◽  
Medicine Today ◽  
Discharge From Hospital

A young male patient of 24 years was presented with the complaints of upper back pain, hyposthesia and unable to walk. MRI of upper dorsal region reveals intradural extramedullary mass lesion extending from D1 to D4 with moderate enhancement of gadolinium. Hence an extensive laminectomy and total removal of the mass. Peroperative impression and histopathological findings confirm vascular schwannoma. After operation dramatic improvement of signs and symptoms, patient can walk with minimum support during discharge from hospital. Medicine Today 2010 Volume 22 Number 02 Page 103-105 DOI: http://dx.doi.org/10.3329/medtoday.v22i2.12445

scholarly journals Application of Gunja (Abrus precatorius Linn.) Beeja lepa: An Ayurvedic protocol for the treatment of Gridhrasi (sciatica)

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1485-1488
Author(s):  
Harjodh Singh ◽  
Sonali Chalakh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbosacral Spine ◽  
Lumbar Region ◽  
Low Back ◽  
External Application ◽  
Abrus Precatorius ◽  
Quality Life ◽  
Before And After ◽  
Lukewarm Water

The most common musculoskeletal disorder affecting the movement of legs is low back pain. Among the affected patients, 40% have ridiculer pain, and these cases can be classified under the umbrella of the sciatic syndrome. Low back pain is extraordinarily common, frequently resulting from degenerative arthritis of the lumbosacral spine. The annual prevalence of disc-related sciatica in the general population is estimated at 2.2%. Sciatica is characterised by constant aching pain which felt in the lumbar region may radiate to the buttock, thigh, calf and foot. Acharaya Charaka explained Gridhrasi in eighty types of nanatmaja Vata vikara. The present study is aimed at evaluating the effect of Gunja  (Abrus precatorius Linn.) Beeja lepa  in the management of Gridhrasi  (Sciatica) and thereby assessing the changes in quality life. The present study is designed as a Non-randomized controlled clinical study, in which a minimum of 30 patients will be enrolled. Gunja beej lepa  will be administered external application two times in a day with lukewarm water. Assessment will be recorded on the 3rd, 5th, 7th, 14th and 28th day. Changes will be observed in subjective parameters such as Ruk (pain) Toda (pin pricking sensation) Stambha (Stiffness), Spandana  (Fasciculation) and objective parameters such as measuring the changes in the angle of elevation of the leg by SLR Test, Sciatica Bothersomeness Index and Sciatica Frequency Index before and after the treatment. Suitable conclusion will be drawn post completion of the trial.

scholarly journals Spondylodiscitis and early diagnosis: a case report

2021 ◽  
Author(s):  
Mariana Moreira Soares de Sa ◽  
Emanuelle Ferreira Barreto ◽  
Marina Soares Vilela ◽  
Roberta Kelly Netto Vinte Guimarães ◽  
Vanessa Alves Lobato ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Lower Limb ◽  
Clinical Case ◽  
Lower Limbs ◽  
Lumbosacral Spine ◽  
Low Back ◽  
Left Lower Limb

Context: Spondylodiscitis is a term that includes vertebral osteomyelitis, spondylitis and discitis. Among the vertebrae, the most affected are the lumbar (45%), followed by the thoracic (35%). Adults present themselves progressively, with a predominant complaint of low back pain and pain on palpation of the affected site, with significant limitation of movement due to muscle spasms. Report a clinical case with an emphasis on the possibility of early diagnosis and correct treatment aimed at the recovery of patients with neurological sequelae. Analysis of medical records in a patient admitted to the neurology ward of Santa Casa de Belo Horizonte. Clinical Case report: A.I.S. patient, 45 years old, with chronic low back pain due to asymmetry of the left lower limb. History of wear of the femoral head diagnosed in adolescence. Evolving for 2 months with progressive weakness in the lower limbs, associated with paresis and paresis in the left lower limb. He performed abdominal USG which showed hepatosplenomegaly with collateral circulation, increased caliber of the portal, splenic and superior mesenteric veins. Tomography of the lumbosacral spine with osteolytic lesions in the joints of L2-L3, L3-L4 and L4-L5., With almost total osteolysis of the L4 vertebral body, retropulsion of much later at this level, suggesting spondylodiscitis. The resonance of the lumbar spine performed with acute spondylodiscitis L2-L3 and L3-L4, compressing the roots of the equine tail with a comprehensive potential, remains as the emerging emerging roots. Liquid filling of the L3- L4 intervebral disc compatible with acute spondylodiscitis. Staphylococcus aureus and enterobacteria are responsible for more than half of the cases of non-tuberculosis. Conclusion: The diagnosis of discitis can be quite difficult, due to the rarity of the disease, the insidious symptoms and the high prevalence of low back pain in the general population. It is considered an important morbidity factor, as it causes an important neurological sequel. In addition, it points to the importance of differential diagnosis of low back pain in the population.

scholarly journals EFFECT OF RAKTAMOKSHANA BY CUPPING THERAPY IN THE MANAGEMENT OF KATIGRAHA - A CASE REPORT

2020 ◽  
Vol 8 (8) ◽  
pp. 4259-4264
Author(s):  
Anita A. Patil
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Food Habits ◽  
Cupping Therapy ◽  
Lumbar Region ◽  
Low Back ◽  
Forward Bending ◽  
Main Culprit

Low back pain has become a common problem in all generations of people. Low back pain can be corre-lated with Katigraha concept in Ayurveda. Katigraha is a Vedanapradhana vyadhi. Patient feels pain and stiffness in the lumbar region, which hampers normal activities of person. The main culprit for this is our lifestyle, stress and faulty food habits. A 27 years old male, who is a driver presented with complaints of low backache, stiffness, tenderness, restriction in movements of Kati i.e., forward bending and backward bending since 6 months. He had taken Allopathy medications, but result was unsatisfactory. This case was diagnosed as Katigraha and was treated with Raktamokshana by cupping therapy. 3 sittings of cupping therapy were conducted at the interval of 7 days. The result of the treatment was encouraging; Hence, study concluded that Katigraha can be managed with Cupping therapy.

scholarly journals An Ayurvedic approach towards management of Ankylosing Spondylitis: A Case Report

2021 ◽  
Vol 12 (3) ◽  
pp. 723-725
Author(s):  
Sumeet Saini ◽  
Muralidhar P Pujar ◽  
Ashvini Kumar M
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Ankylosing Spondylitis ◽  
Early Adulthood ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
Low Back ◽  
Restricted Movement ◽  
Intervention Patient

Introduction: Ankylosing spondylitis(AS) is a rheumatic disease that comes under the category of Spondyloarthritides. The symptoms of the disease are usually first noticed in late adolescence or early adulthood, with male to the female prevalence of 3:1. Which can be better managed by a combination of Panchakarma procedures and Ayurveda drugs. Clinical findings - We present a case of AS, having symptoms of low back pain along with stiffness unable to bend forward completely, and pain in the nape of the neck with stiffness and restricted movement so it was considered to be Gambhira Vatarakta. Intervention: Patient was treated with Panchakarma treatment Vaitrana Basti(Enema with medicated drugs) in Kala Schedule for 9 days and Jambeera Pinda Swedana(JPS)  for 6 days along with oral medicines. Outcomes - As oral Medication along with Panchakarma procedures help in relieving signs and symptoms like pain and restricted movement and providing best comfort to the patient by reducing the severity of the disability. Conclusion - so it can be concluded that Panchakarma is effective in the management of Ankylosing Spondylitis. 

COMPARISON OF LATERAL ABDOMINAL MUSCLE THICKNESS IN YOUNG MALE SOCCER PLAYERS WITH AND WITHOUT LOW BACK PAIN

2019 ◽  
Vol 14 (2) ◽  
pp. 273-281 ◽  
Author(s):  
Pardis Noormohammadpour ◽  
Shadi Mirzaei ◽  
Navid Moghadam ◽  
Mohammad Ali Mansournia ◽  
Ramin Kordi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Young Male ◽  
Muscle Thickness ◽  
Abdominal Muscle ◽  
Soccer Players ◽  
Low Back

Critical analysis and unique management of Gridhrasi w.s.r. to Sciatica - A Case Report

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Total Population ◽  
The Body ◽  
Walking Distance ◽  
Common Symptom ◽  
Low Back ◽  
Short Term ◽  
Lower Back

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.

scholarly journals Cognitive–Evaluative Dimension of Pain in Neuropathic Pain Relapse in Sciatica: A Case Report

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 658
Author(s):  
Tsubasa Kawasaki ◽  
Takuya Yada ◽  
Masahiro Ohira
Keyword(s):  
Neuropathic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Acute Phase ◽  
Low Back ◽  
Evaluative Dimension ◽  
Long Duration ◽  
Improvement Process ◽  
Insight Into

The cognitive–evaluative (C–E) dimension of pain is commonly observed in patients with a relatively long duration of pain. However, little is known about the effects of pain relapse on the C–E dimension of pain. Moreover, the improvement process of the C–E dimension of pain following treatment is unknown. The objective of this case report was to (a) demonstrate that the C–E dimension was affected in the acute phase of neuropathic pain in cases of pain relapse, and (b) demonstrate the improvement process of the C–E dimension of pain. A woman was diagnosed with low back pain (LBP) and sciatica. The patient had previously experienced symptoms of LBP and sciatica; thus, this episode was a case of pain relapse. At the beginning of rehabilitation, the C–E dimension of pain was present in addition to the sensory–discriminative (S–D) dimension of pain. It was observed that improvement of the C–E dimension of pain was delayed in comparison with that of the S–D dimension of pain. The C–E dimension of pain was observed with pain relapse even though it was in the acute phase of pain. This case provides a novel insight into the C–E dimension of pain. Moreover, the delay in improving the C–E dimension of pain indicates a difference in the improvement process for each pain dimension.

Poster 312: Bilateral Sacral Insufficiency Fractures in a Patient with Low Back Pain: A Case Report

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S104-S104
Author(s):  
Ashley Michael ◽  
Vandana Sood ◽  
Brian M. Bruel ◽  
Kenneth Kemp
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Low Back ◽  
Insufficiency Fractures ◽  
Sacral Insufficiency Fractures

scholarly journals Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy

2014 ◽  
Vol 21 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Jeffrey C. Wang ◽  
Andrew T. Dailey ◽  
Praveen V. Mummaneni ◽  
Zoher Ghogawala ◽  
Daniel K. Resnick ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Lumbar Fusion ◽  
Signs And Symptoms ◽  
Herniated Disc ◽  
Spinal Instability ◽  
Low Back ◽  
Low Level ◽  
Disc Herniations

Patients suffering from a lumbar herniated disc will typically present with signs and symptoms consistent with radiculopathy. They may also have low-back pain, however, and the source of this pain is less certain, as it may be from the degenerative process that led to the herniation. The surgical alternative of choice remains a lumbar discectomy, but fusions have been performed for both primary and recurrent disc herniations. In the original guidelines, the inclusion of a fusion for routine discectomies was not recommended. This recommendation continues to be supported by more recent evidence. Based on low-level evidence, the incorporation of a lumbar fusion may be considered an option when a herniation is associated with evidence of spinal instability, chronic low-back pain, and/or severe degenerative changes, or if the patient participates in heavy manual labor. For recurrent disc herniations, there is low-level evidence to support the inclusion of lumbar fusion for patients with evidence of instability or chronic low-back pain.

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