keyword
https://read.qxmd.com/read/38524026/infectious-sacroiliitis-as-a-rare-postpartum-complication-a-case-report
#1
Renata Monteiro, Joana A Cabrera, Rui Salvador, Catarina Pereira, Marta Monteiro
Infectious sacroiliitis is a rare and challenging diagnosis. Sacroiliac joint changes related to pregnancy and puerperium can predispose to this condition. However, its clinical presentation can often mimic common causes of lower back pain and delay the diagnosis. We report the case of a 31-year-old pregnant woman with twins who presented at 29 weeks of gestation with lower back and right buttock pain that radiated down to the thigh. Although initially interpreted as sciatica pain, the diagnosis of psoas hematoma complicated with infectious sacroiliitis was made...
February 2024: Curēus
https://read.qxmd.com/read/38518474/primary-extrahepatic-hydatid-cyst-of-the-thigh-an-unusual-presentation-of-sciatica-a-case-report-of-a-diagnostic-challenge
#2
Ahmed Zendeoui, Mohamed Amine Gharbi, Mouadh Nefiss, Mohamed Hedi Ezzine, Anis Tborbi, Ramzi Bouzidi
INTRODUCTION: Sciatica, a condition characterized by pain along the sciatic nerve distribution, is commonly associated with nerve compression or irritation. However, its etiology can vary, including rare non-spinal causes such as hydatid cysts. We present a case of hydatid cyst in the thigh causing sciatica-like symptoms, highlighting the diagnostic challenges and management approach. CASE PRESENTATION: A 40-year-old patient with a history of pulmonary tuberculosis presented with persistent lumbosciatic pain despite conservative treatment...
March 20, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38512504/the-long-term-outcome-of-revision-microdiscectomy-for-recurrent-sciatica
#3
JOURNAL ARTICLE
M B Lequin, D Verbaan, P R Schuurman, Saskia Tasche, W C Peul, W P Vandertop, G J Bouma
PURPOSE: To study the long-term outcome of revision microdiscectomy after classic microdiscectomy for lumbosacral radicular syndrome (LSRS). METHODS: Eighty-eight of 216 patients (41%) who underwent a revision microdiscectomy between 2007 and 2010 for MRI disc-related LSRS participated in this study. Questionnaires included visual analogue scores (VAS) for leg pain, RDQ, OLBD, RAND-36, and seven-point Likert scores for recovery, leg pain, and back pain. Any further lumbar re-revision operation(s) were recorded...
March 21, 2024: European Spine Journal
https://read.qxmd.com/read/38500566/virtually-delivered-mindfulness-oriented-recovery-enhancement-more-reduces-daily-pain-intensity-in-patients-with-lumbosacral-radiculopathy-a-randomized-controlled-trial
#4
JOURNAL ARTICLE
Ryan S Wexler, Devon J Fox, Danielle ZuZero, Melissa Bollen, Anand Parikshak, Hannah Edmond, Johnny Lemau, Diane Montenegro, Jillian Ramirez, Sophia Kwin, Austin R Thompson, Hans L Carlson, Lynn M Marshall, Thomas Kern, Scott D Mist, Ryan Bradley, Douglas A Hanes, Heather Zwickey, Courtney K Pickworth
INTRODUCTION: Lumbosacral radiculopathy (LR), also known as sciatica, is a common type of radiating neurologic pain involving burning, tingling, and numbness in the lower extremities. It has an estimated lifetime prevalence as high as 43%. OBJECTIVES: The objective of this randomized controlled trial was to evaluate the impact of virtually delivered Mindfulness-Oriented Recovery Enhancement (MORE) on patients with LR during the COVID-19 pandemic. METHODS: Potentially eligible patients were identified using electronic health record queries and phone screenings...
April 2024: Pain Reports
https://read.qxmd.com/read/38496349/cauda-equina-conus-medullaris-and-syndromes-mimicking-sciatic-pain-wfns-spine-committee-recommendations
#5
REVIEW
Sandeep Vaishya, Mirza Pojskic, Manbachan Singh Bedi, Joachim Oertel, Christoph Sippl, Scott Robertson, Corinna Zygourakis
INTRODUCTION: Cauda equina syndrome (CES), conus medullaris syndrome (CMS), and sciatica-like syndromes or "sciatica mimics" (SM) may present as diagnostic and/or therapeutic dilemmas for the practicing spine surgeon. There is considerable controversy regarding the appropriate definition and diagnosis of these entities, as well as indications for and timing of surgery. Our goal is to formulate the most current, evidence-based recommendations for the definition, diagnosis, and management of CES, CMS, and SM syndromes...
April 2024: World neurosurgery: X
https://read.qxmd.com/read/38479203/-health-service-needs-of-migrant-women-from-a-basic-health-area-a-qualitative-study
#6
JOURNAL ARTICLE
A M Ballesteros Perez, I Nieto Olivares, M J Conesa Espejo, B Chiva Ballesteros
OBJECTIVES: To know the needs and lack of information on health issues of Maghrebi women. SUBJECTS, MATERIAL AND METHOD: Design: Qualitative study technique nominal group (TGN). SUBJECTS: 14 North African women from Association for Solidarity and Rapprochement of Cultures (ASAC) from the rural clinic of La Aljorra who knew and understood Spanish, older age, and lived in the town for more than 3 years. Material and method TGN asks: «What daily health issues for you and your family worry you the most and do you need answers?» Individual reflection and list that were discussed among them, joining the group consensus...
March 12, 2024: Semergen
https://read.qxmd.com/read/38471686/impact-of-evidence-based-guidelines-on-healthcare-utilisation-and-costs-for-disc-related-sciatica-in-the-netherlands-a-population-based-cross-sectional-study
#7
JOURNAL ARTICLE
Juliëtte van Munster, Mark W Noordenbos, I J Y Halperin, Wilbert B van den Hout, Peter Paul van Benthem, Ingrid Seinen, Wouter A Moojen, Wilco Peul
OBJECTIVE: The aim of this study was to assess the impact of high-quality evidence supporting surgical treatment of lumbar disc herniation (LDH) on healthcare practice in the Netherlands by examining changes in healthcare utilisation, including the timing of surgery, and the healthcare costs for patients with LDH. DESIGN: A retrospective, cross-sectional study was performed using population-based, longitudinal data obtained from the Dutch Healthcare Authority (2007-2020) and NIVEL's primary care (2012-2020) administrative databases...
March 11, 2024: BMJ Open
https://read.qxmd.com/read/38464578/beyond-the-obvious-a-case-presentation-on-the-misdiagnosis-of-posterior-femoral-cutaneous-nerve-entrapment-as-semitendinosus-muscle-tear
#8
Mohammadreza Pourahmadi, Alireza Yaseri Gohari, Mohammad Mahdi Ghorbani Duqaei
To underscore the importance of evaluating the entrapment of the posterior femoral cutaneous nerve (PFCN) in patients exhibiting symptoms in the posterior thigh region. A 42-year-old male dentist, initially diagnosed with a semitendinosus muscle tear and persistent pain and tingling in the posterior thigh, sought treatment at our outpatient clinic. Despite unsuccessful physiotherapy, a comprehensive evaluation revealed an unusual entrapment of the PFCN between the sacrotuberous ligament and the semitendinosus muscle stump...
March 2024: Clinical Case Reports
https://read.qxmd.com/read/38451443/opioids-for-acute-musculoskeletal-pain-a-systematic-review-with-meta-analysis
#9
Caitlin M P Jones, Aili Langford, Chris G Maher, Christina Abdel Shaheed, Richard Day, Chung-Wei Christine Lin
OBJECTIVE: To evaluate the efficacy of opioids for people with acute musculoskeletal pain against placebo. STUDY DESIGN: Systematic review and meta-analyses of randomised, placebo-controlled trials of opioid analgesics for acute musculoskeletal pain in any setting. The primary outcomes were pain and disability at the immediate timepoint (< 24 h). DATA SOURCES: Multiple databases were searched from their inception to February 22nd, 2023...
March 7, 2024: Drugs
https://read.qxmd.com/read/38448866/sciatica-caused-by-spinal-epidural-abscess-as-the-initial-clinical-presentation-of-colon-cancer-a-rare-case-report-and-review-of-literature
#10
JOURNAL ARTICLE
Kuan-Yu Lu, Wei-En Tung, Chang-Jung Chiang, Yueh-Ying Hsieh, Chia-Hsien Chen, Mei-Hui Lee, Min-Hsuan Yen, Po-Wen Lu, Lien-Chen Wu
BACKGROUND: Colorectal cancer is one of the most frequently diagnosed forms of cancer, and it is associated with several common symptoms and signs such as rectal bleeding, altered bowel habits, abdominal pain, anemia, and unintentional weight loss. Sciatica, a debilitating condition in which the patient experiences paresthesia and pain in the dermatome of associated lumbosacral nerve roots or sciatic nerve distribution, is not considered one of these. Here we present a case of colorectal cancer manifesting symptoms of sciatica alone...
March 6, 2024: BMC Infectious Diseases
https://read.qxmd.com/read/38440806/transforaminal-epidural-steroid-injection-for-radiculopathy-and-the-evolution-to-surgical-treatment-a-pragmatic-prospective-observational-multicenter-study
#11
JOURNAL ARTICLE
Vincent Raymaekers, Gert Roosen, Eric Put, Steven Vanvolsem, Salah-Eddine Achahbar, Sacha Meeuws, Maarten Wissels, Sven Bamps, Dirk De Ridder, Tomas Menovsky, Mark Plazier
Aim: The aim of this study is to analyze the real-world outcomes of transforaminal epidural steroid injections (TFESIs) in all patients with radiculopathy and their long-term outcomes. Methods: Patients with radiculopathy and failure of conservative treatment were included in a prospective, multicenter, observational cohort study. Results: In total, 117 patients were treated with one or two TFESIs. The mean duration of follow-up was 116 (±14) weeks. In total 19,6% (95% CI: 12.9-28.0%) patients were treated with surgery after insufficient symptom improvement...
March 5, 2024: Pain Management
https://read.qxmd.com/read/38410291/effect-of-neuromuscular-training-and-neurodynamic-solutions-for-asymptomatic-prolapsed-intervertebral-disc-and-coexisting-piriformis-syndrome-in-a-19-year-old-a-comprehensive-case-report
#12
Prajyot Ankar, Grisha R Ratnani, Swapnil U Ramteke, Pratik R Jaiswal
This case study examines the treatment journey of a 19-year-old male who presented with bilateral buttock pain, lower limb weakness, and instability caused by piriformis syndrome and asymptomatic Prolapsed intervertebral disc (PIVD) herniation. The intervention strategy was guided by clinical assessments, including neurological and musculoskeletal evaluations, as well as confirmatory magnetic resonance imaging (MRI) findings. The patient's treatment plan adopted a comprehensive approach that incorporated neuromuscular training and neurodynamic solutions...
January 2024: Curēus
https://read.qxmd.com/read/38401623/gunshot-acquired-sciatica
#13
JOURNAL ARTICLE
Olivier Fakih, Frank Verhoeven, Clément Prati, Daniel Wendling
No abstract text is available yet for this article.
February 22, 2024: Joint, Bone, Spine: Revue du Rhumatisme
https://read.qxmd.com/read/38386066/hads-and-soms-2-brief-score-evaluation-can-prevent-unnecessary-minimal-invasive-spine-interventions-a-prospective-blinded-observational-clinical-trial
#14
JOURNAL ARTICLE
Andreas Veihelmann, Florian Beck, Christof Birkenmaier
INTRODUCTION: To test the hypothesis, whether HADS/SOMS is practical in a spine surgery consultation setting and that patients with CLBP, but a high-risk of psychic comorbidities using above screenings will not improve after minimal-invasive spine interventions (MIS). METHODS: n = 150 completed HADS and SOMS prior to the acquisition of history and examination. Primary outcome was improvement by numeric rating scale (NRS), Pain disability index (PDI) and oswestry disability index (ODI) at baseline and 6 months after intervention...
February 22, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38365007/risk-factors-associated-with-low-grade-virulent-infection-in-intervertebral-disc-degeneration-a-systematic-review-and-meta-analysis
#15
REVIEW
Mingtao Zhang, Jingwen Jia, Liangna Deng, Zhenyu Cao, Xuchang Hu, Shuanhu Lei, Guangzhi Zhang, Daxue Zhu, Yanni Duan, Xuewen Kang
BACKGROUND: An increasing number of research indicates an association between low-grade bacterial infections, particularly those caused by Propionibacterium acnes (P. acnes), and the development of intervertebral disc degeneration (IDD). However, no previous meta-analysis has systematically assessed the risk factors for low-grade bacterial infections that cause IDD. PURPOSE: This study reviewed the literature to evaluate the risk factors associated with low-grade bacterial infection in patients with IDD...
February 15, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38338282/is-acute-lower-back-pain-associated-with-heart-rate-variability-changes-a-protocol-for-systematic-reviews
#16
JOURNAL ARTICLE
Gema Sanchis-Soler, Juan Tortosa-Martinez, Sergio Sebastia-Amat, Ivan Chulvi-Medrano, Juan Manuel Cortell-Tormo
Acute lower back pain (ALBP) is an extremely common musculoskeletal problem. ALBP consists of a sudden onset of short-duration pain in the lower back. However, repeated attacks can make the pain chronic. It can be measured through a self-report scale as well as through physical and physiological evaluations. Heart Rate Variability (HRV) has been used to evaluate the body's response to pain. However, to the best of our knowledge, no clear consensus has been reached regarding the relationship between both variables and on an optimal protocol for ALBP evaluation based on HRV...
February 3, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38322127/causal-association-of-leisure-sedentary-behavior-and-cervical-spondylosis-sciatica-intervertebral-disk-disorders-and-low-back-pain-a-mendelian-randomization-study
#17
JOURNAL ARTICLE
Youjia Qiu, Xingzhou Wei, Yuchen Tao, Bingyi Song, Menghan Wang, Ziqian Yin, Minjia Xie, Aojie Duan, Zhouqing Chen, Zhong Wang
BACKGROUND: Some studies suggest sedentary behavior is a risk factor for musculoskeletal disorders. This study aimed to investigate the potential causal association between leisure sedentary behavior (LSB) (including television (TV) viewing, computer use, and driving) and the incidence of sciatica, intervertebral disk degeneration (IVDD), low back pain (LBP), and cervical spondylosis (CS). METHODS: We obtained the data of LSB, CS, IVDD, LBP, sciatica and proposed mediators from the gene-wide association studies (GWAS)...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38313953/impact-of-insurance-type-on-access-to-pain-management-specialists-for-the-treatment-of-lower-back-pain
#18
JOURNAL ARTICLE
Phillip Cifuentes, Manuela Jaramillo, Fabio Garrote, Daniel Bravo, Juan C Alvarez, Ramon M Quintero, Stephan Mouhanna, Rakesh R Nair
Background Low back pain is known to be one of the leading causes of disability among the young and elderly population. Low back pain can stem from multiple sources, including spinal degeneration, injury, herniated discs, sciatica, and other contributing causes. This symptom significantly influences the quality of life of affected individuals. Its implications include extensive social and economic costs. Economic considerations arise from the fact that not all healthcare facilities accept the insurance plans available to retired individuals under Medicare...
January 2024: Curēus
https://read.qxmd.com/read/38301139/efficacy-of-individualized-homeopathic-medicines-in-the-treatment-of-sciatica-pain-double-blind-randomized-placebo-controlled-trial
#19
JOURNAL ARTICLE
Siddharth Kumar Das, Trishita Basu, Saleema Naaz Tabassum, Ashish Sarkar, Shubhamoy Ghosh, Munmun Koley, Subhranil Saha, Arunava Nath, Srimanta Khamrui
Objectives: Sciatica is a debilitating condition that causes pain in its distribution or in the lumbosacral nerve root that is connected to it. Although there are claims that homeopathy can reduce sciatica pain, systematic scientific proof is currently lacking. The objective of the trial was to determine whether individualized homeopathic medicines (IHMs) were as effective as identical-looking placebos in treating sciatica pain. Design: This is a double-blind, randomized (1:1), two parallel arms, placebo-controlled trial...
February 1, 2024: J Integr Complement Med
https://read.qxmd.com/read/38285276/causal-associations-between-gut-microbiota-with-intervertebral-disk-degeneration-low-back-pain-and-sciatica-a-mendelian-randomization-study
#20
JOURNAL ARTICLE
Miaojie Fang, Wei Liu, Zhan Wang, Jun Li, Shaojun Hu, Zilong Li, Weishan Chen, Ning Zhang
PURPOSE: Although studies have suggested that gut microbiota may be associated with intervertebral disk disease, their causal relationship is unclear. This study aimed to investigate the causal relationship between the gut microbiota and its metabolic pathways with the risk of intervertebral disk degeneration (IVDD), low back pain (LBP), and sciatica. METHODS: Genetic variation data for 211 gut microbiota taxa at the phylum to genus level were obtained from the MiBioGen consortium...
January 29, 2024: European Spine Journal
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