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 THE EFFECT OF RASNAAMRITADI KASHAYAM IN GRIDHRASI: A CASE STUDY

2020 ◽  
Vol 11 (5) ◽  
pp. 15-17
Author(s):  
Reshmi K Pillai ◽  
K Govindan Namboodiri
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sciatic Nerve ◽  
Male Patient ◽  
Lower Limb ◽  
Lower Limbs ◽  
Low Back ◽  
Patient Complaints ◽  
One Year

Gridhrasi is one of the 80 Nanatmaja Vata Vyadhi, which is caused by the aggravation of Vata Dosha; it can be divided into Vataja and Vatakaphaja. Gridhrasi can be equated with sciatica where pain, weakness, numbness and other discomfort along the path of sciatic nerve often accompanies with low back pain. In this study, 49 years old male patient complaints of low back pain radiating to both lower limb since one year, he was also complaining numbness on right lower limb. During clinical examination SLR test, Lasegue’s sign were positive on both lower limbs. He was diagnosed as Gridhrasi. Patient was advice to take Rasnaamritadi Kashayam twice daily in a dose of 50 ml one hour before meals. Rasnaamritadi Kashaya mentioned in Yoga amritam text Vata Vyadhi Chikitsa chapter. Drug mentioned in the yoga possess Vatahara, Kaphahara, Amapachana, Shoolahara and Shophahara property. After 30 days of treatment, he got 75% relief in low back pain and 90% relief in radiating pain and also there was an improvement in SLR and Lasegue’s sign.

scholarly journals Lumbo-Pelvic and Lower Limb Joint Kinematics in Subjects with and Without Low Back Pain: A Protocol for Systematic Review

2021 ◽  
Author(s):  
Fatemeh Ghasemi Dehcheshme ◽  
Massoud Arab ◽  
Mohammad Reza Nourbakhsh
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Lower Limbs ◽  
Reference List ◽  
Low Back ◽  
Healthy Individuals ◽  
Newcastle Ottawa Scale ◽  
Kinematic Assessment

Abstract Background Low back pain (LBP) is one of the leading causes of disability worldwide. While its main cause is mostly unknown, more than 80% of people experience this disorder during their lifetime .Some clinical evidence suggests that people with chronic LBP have various lower extremity movement disorders. This study aims to systematically review the literature on comparing the kinematics of the lumbopelvic region and lower limb joints in people with non-specific low back pain (NS-LBP) compared to healthy individuals. Methods/design: We will search main electronic databases (Medline/PubMed, Scopus, Embase, Web of Science, Pedro, ProQuest and Google Scholar) and two key journals (Journal of Electromyography and Kinesiology, Clinical Biomechanics). Also, the reference list of the previous systematic reviews would be hand-searched. Studies that have examined the kinematic differences in lumbopelvic or lower limbs between NS-LBP and healthy individuals will be included. We will examine the methodological quality and statistical reporting of each eligible trial using the Newcastle – Ottawa Scale (NOS). Discussion To our knowledge, this study will be the first systematic review to examine the kinematic differences of the lower limb joints and pelvic complex between healthy people and NS-LBP. Since the kinematic assessment of the lower extremities and pelvic joints during daily activities may help understand underlying factors causing LBP, it is important to evaluate the kinematic changes in these regions, during repetitive daily functions in these patients. Systematic review registration: PROSPERO (CRD42021230826)

scholarly journals Rheumatoid Arthritis and Ankylosing Spondylitis Occurring Together- A Case Report

1970 ◽  
Vol 22 (1) ◽  
pp. 144-146 ◽  
Author(s):  
ABMS Alam ◽  
MA Hoque ◽  
MZ Haque ◽  
ASMM Rahman ◽  
F Ahamed
Keyword(s):  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Ankylosing Spondylitis ◽  
Inflammatory Pain ◽  
Morning Stiffness ◽  
Positive Family History ◽  
Lower Limbs ◽  
Low Back

We report a case of middle aged man who presented with inflammatory low back pain with restriction of movement and enthesopathy. Later on the developed inflammatory pain affecting small and large joints of upper and lower limbs associated with morning stiffness with deformities. There is also positive family history. So, though the incidence is very rare the co-existence of rheumatoid arthritis and ankylosing spondylitis in this case would be a possibility. DOI: 10.3329/taj.v22i1.5040 TAJ 2009; 22(1): 144-146

scholarly journals Physiotherapy Management of low back pain with Sacroiliac Joint Component; A case report

2014 ◽  
Vol 70 (2) ◽  
Author(s):  
C.O. Adesola ◽  
A.A. Babatunde ◽  
U. Ushotanele
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Sacroiliac Joint ◽  
Clinical Case ◽  
Low Back

This report describes a clinical case of 71 year old man with low back pain of sacroiliac joint component.

scholarly journals Transforaminal Endoscopic Discectomy: A Targeted Spinal Surgery

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Ed Simor Khan Mor Japar Khan ◽  
Kow Ren Yi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Intervertebral Disc ◽  
Lower Limb ◽  
Low Back ◽  
Disc Material ◽  
Left Lower Limb ◽  
Straight Leg Raising ◽  
History Of ◽  
Prolapsed Intervertebral Disc

Introduction: Open discectomy has been the gold standard of care for cases of Prolapsed intervertebral Disc. Tissue dissection is unavoidable in order to access the pathologic disc material. From skin incision, subcutaneous fat tissue, paraspinal muscles, ligamentum flavum, epidural fat, dura and nerve roots has to be encounter before reaching the disc material. With the in out transforaminal endoscopic technique only skin and subcutaneous tissue need to be bridge before reaching the disc material. This technique is also known as a targeted surgical technique. Minimal tissue injury is caused via this technique. Case report: We present 3 case series of prolapsed intervertebral disc which was treated with transforaminal endoscopic technique. Case 1: 49 year old presented with one year history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed 2 level disc bulge at L4L5, L5S1 with annular tear at L5S1. Case 2: 26 year old lady presented with 6 months history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed extruded disc at L4L5. Case 3: 28 year old lady presented with 8 months history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed extruded disc at L5S1 with annular tear. Results: All three patients underwent transformational discectomy. Case 1 and 2 were done under monitored anaesthesia control (MAC) and case 3 was done under epidural. All three patients had satisfactory  pain relief with complete resolve of straight leg raising (SLR) test. The 1st patient had longer recovery period possibly because of its chronicity of symptoms. Conclusion: Early recovery is expected hence early return to work can be accomplish. In the future this might be the gold standard of treating prolapsed intervertebral disc.

scholarly journals Low back pain: a case study

2021 ◽  
pp. 384-390
Author(s):  
D. Kh. Khaibullina ◽  
Yu. N. Maksimov ◽  
F. I. Devlikamova
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Case ◽  
Muscle Tension ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
Intervertebral Discs ◽  
Lower Limbs ◽  
Low Back ◽  
Medical Opinion

As defined in the WHO Bulletin (1999), low back pain (LBP) is pain, muscle tension or stiffness localized in the back between the XII pair of ribs and the lower gluteal folds, with or without irradiation in lower limbs. The LBP syndrome is not a nosological unit, but due to its high prevalence, social and economic importance, it has a separate heading in ICD-10 – (M 54.5). Various structures can be the source of LBP: intervertebral discs, facet and sacroiliac joints, muscles, ligaments, tendons, fascia, spinal cord and its roots, peripheral nerves, etc. Depending on which structure the source of pain is, the nature of the pain can have a nociceptive, neuropathic or mixed character, which affects the tactics of patient management. The variety of clinical manifestations of LBP introduces certain difficulties in the process of making a diagnosis and may entail the appointment of treatment methods that are inadequate for the patient’s condition. In such cases, it is advisable to conduct an additional consultation in order to obtain a second medical opinion. The message is devoted to the analysis of a clinical case of LBP. During the examination of the patient, the nature of the pain, initially regarded as neuropathic, began to be interpreted as nociceptive. In accordance with this, a complex treatment was prescribed, which included pharmacological preparations and methods of non-drug therapy. In order to quickly relieve the pain syndrome, the drug dexketoprofen was used according to a stepwise scheme. Obtaining effective anesthesia within 5 days made it possible to abandon further NSAID intake and to continue follow-up treatment with a preparation of B vitamins, a muscle relaxant and SYSADOA in combination with non-drug methods of treatment. The considered clinical case illustrates both the difficulties arising in the diagnosis of LBP and the possibilities of successful conservative therapy of this disease. 

Correction of Posture Deviations in the Sagittal Plane Using the Pilates Method

2019 ◽  
pp. 3-13
Author(s):  
Alexandru Cîtea ◽  
George-Sebastian Iacob
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Postural Control ◽  
Human Body ◽  
Sagittal Plane ◽  
The Body ◽  
Lower Limbs ◽  
Low Back ◽  
Pilates Method ◽  
The Relationship

Posture is commonly perceived as the relationship between the segments of the human body upright. Certain parts of the body such as the cephalic extremity, neck, torso, upper and lower limbs are involved in the final posture of the body. Musculoskeletal instabilities and reduced postural control lead to the installation of nonstructural posture deviations in all 3 anatomical planes. When we talk about the sagittal plane, it was concluded that there are 4 main types of posture deviation: hyperlordotic posture, kyphotic posture, rectitude and "sway-back" posture.Pilates method has become in the last decade a much more popular formof exercise used in rehabilitation. The Pilates method is frequently prescribed to people with low back pain due to their orientation on the stabilizing muscles of the pelvis. Pilates exercise is thus theorized to help reactivate the muscles and, by doingso, increases lumbar support, reduces pain, and improves body alignment.

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