Lumbar Radiculopathy

Medication recommendations for treatment of lumbosacral radiculopathy: A systematic review of clinical practice guidelines

Physical Medicine & Rehabilitation Morgan R. Price DC, Kaelyn E. Mead DC, Diana M. Cowell PharmD, BCPS, Alyssa M. Troutner DC, MS, Tyler E. Barton DC, Sheryl A. Walters MLS, Clinton J. Daniels DC, MS First published: 17 April 2024 https://doi.org/10.1002/pmrj.13142 Abstract Objective The purpose of this systematic review was to ascertain guideline-recommended pharmaceutical approaches […]

Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial

J Man Manip Ther. 2023 Mar 22;1-13. doi: 10.1080/10669817.2023.2192975. Online ahead of print. Musa Sani Danazumi PMID: 36950742 DOI: 10.1080/10669817.2023.2192975 Abstract Objectives: To determine the long-term clinical effects of spinal manipulative therapy (SMT) or mobilization (MOB) as an adjunct to neurodynamic mobilization (NM) in the management of individuals with Lumbar Disc Herniation with Radiculopathy (DHR). Design: Parallel group, single-blind […]

Effectiveness of Mechanical Traction for Lumbar Radiculopathy: A Systematic Review and Meta-analysis

Carla Vanti, PT, MSc, OMPT Physical Therapy, pzaa231, https://doi.org/10.1093/ptj/pzaa231 Published: 31 December 2020 Abstract Objective Lumbar radiculopathy is a pain syndrome caused by compression/irritation of the lumbar nerve root(s). Traction is a well-known and commonly used conservative treatment for lumbar radiculopathy, although its effectiveness is disputed. The purpose of this systematic review and meta-analysis of […]

Epidural Corticosteroid Injections for Sciatica

An Abridged Cochrane Systematic Review and Meta-Analysis Oliveira, Crystian B. PhD SPINE: November 1, 2020 – Volume 45 – Issue 21 – p E1405-E1415 doi: 10.1097/BRS.0000000000003651 Study Design. Systematic with meta-analysis Objectives. The aim of this study was to investigate the efficacy and safety of epidural corticosteroid injections compared with placebo injection in reducing leg […]

Spinal manipulation for subacute and chronic lumbar radiculopathy: a randomized controlled trial

The American Journal of Medicine Author: Seyedezahra Hosseini Ghasabmahaleh Published:September 12, 2020DOI:https://doi.org/10.1016/j.amjmed.2020.08.005 Abstract Objective We evaluated the efficacy of spinal manipulation for the management of non-acute lumbar radiculopathy. Methods In a university hospital we performed a randomized controlled trial with two parallel arms. Patients (n=44) with unilateral radicular low back pain lasting more than 4 […]

Persian manual therapy method for chronic low-back pain with lumbar radiculopathy; a randomized controlled trial

JBMT VOLUME 24, ISSUE 3, P123-130, JULY 01, 2020 Mohamad Sanei Abstract Background Manual therapy is a non-surgical approach for management of musculoskeletal symptoms. This study investigated safety and efficacy of a Persian manual therapy method (Fateh technique) for management of chronic low-back pain (LBP) and radiculopathy. Methods In this controlled trial, 52 eligible patients […]

Evaluation of persons with suspected lumbosacral and cervical radiculopathy: Electrodiagnostic assessment and implications for treatment and outcomes (Part II)

Muscle and Nerve Timothy R. Dillingham MD MS Thiru M. Annaswamy MD, MA, FAAPMR Christopher T. Plastaras MD First published: 21 June 2020 https://doi.org/10.1002/mus.27008 Abstract The electrodiagnostic (EDX) examination with needle electromyography (EMG) is the most important means of testing for radiculopathy. This test has modest sensitivity but high specificity and complements imaging of the […]

Reliability of the buttock applied strain test to diagnose radicular pain in patients with low back pain

Pain Practice — Dekel BGS, Sorella MC, Vasarri A, et al. | May 01, 2020 This study was intended to assess reliability of the buttock applied strain test for the diagnosis of radicular pain in patients with low back pain. Researchers included a sum of 395 consecutive patients with low‐back pain (LBP) to examine sensitivity, […]

Where do patients with MRI-confirmed single-level radiculopathy experience pain, and what is the clinical interpretability of these pain patterns? A cross-sectional diagnostic accuracy study – Full Text

Hanne B. Albert, Jeanette Kaae Hansen, Helle Søgaard & Peter Kent Chiropractic & Manual Therapies volume 27, Article number: 50 (2019) Abstract Background Clinicians nominate the distribution of leg pain as being important in diagnosing nerve root involvement. This study aimed to identify: (i) common unisegmental radicular pain patterns and whether they were dermatomal, and […]

Understanding sciatica: illness and treatment beliefs in a lumbar radicular pain population. A qualitative interview study – Full Text

Robert Goldsmith, Nefyn Howard Williams and Fiona Wood BJGP Open 6 August 2019; bjgpopen19X101654. DOI: https://doi.org/10.3399/bjgpopen19X101654 Abstract Background Several pathological processes contribute to lumbar radicular pain (LRP), commonly known as sciatica. It is not known how patients rationalise the experience of sciatica or understand the diagnosis. Providing clinicians with a better understanding of how patients […]

The Effect of Spinal Mobilization With Leg Movement in Patients With Lumbar Radiculopathy – A Double-Blind Randomized Controlled Trial

Arch Phys Med Rehabil. 2019 May;100(5):828-836. doi: 10.1016/j.apmr.2018.11.004. Epub 2018 Dec 3. Kiran Satpute PMID: 30521781 DOI: 10.1016/j.apmr.2018.11.004 Abstract Objectives: To evaluate the effect of spinal mobilization with leg movement (SMWLM) on low back and leg pain intensity, disability, pain centralization, and patient satisfaction in participants with lumbar radiculopathy. Design: A double-blind randomized controlled trial. […]

Sciatica – A Real Pain in the Butt (4 part series)

Articles by Dr. Brian Abelson DC who teaches Motion Specific Technique Sciatica – A Real Pain in the Butt – Part 1 Sciatica – A Real Pain in the Butt! – Part 2 Sciatica Solutions for a Real Pain in the Butt! – Part 3 Sciatica – Small Steps, Big Changes to a Pain in the […]

The Effect of Spinal Mobilization With Leg Movement in Patients With Lumbar Radiculopathy—A Double-Blind Randomized Controlled Trial

Article in Archives of Physical Medicine and Rehabilitation · December 2018 with 95 Reads DOI: 10.1016/j.apmr.2018.11.004 Abstract Objectives: To evaluate the effect of spinal mobilization with leg movement (SMWLM) on low back and leg pain intensity, disability, pain centralization, and patient satisfaction in participants with lumbar radiculopathy. Design: A double-blind randomized controlled trial. Setting: General hospital. Participants: Adults (N=60; […]

Acute sciatica secondary to lumbar disc herniation may benefit from chiropractic spinal manipulation

October 8, 2018 LOS ANGELES — Results presented at the North American Spine Society Annual Meeting showed a small subgroup of patients with acute sciatica secondary to lumbar disc herniation may significantly benefit from chiropractic spinal manipulation therapy. Paul B. Bishop , MD, PhD, DC, and colleagues randomly assigned 40 patients with acute sciatica secondary […]

Asymmetric Atrophy of Paraspinal Muscles in Patients With Chronic Unilateral Lumbar Radiculopathy – Full Text Article

Ann Rehabil Med. 2017 Oct; 41(5): 801–807. Published online 2017 Oct 31. doi: 10.5535/arm.2017.41.5.801 PMCID: PMC5698667 Jinmann Chon, MD, PhD Abstract Objective To assess the cross-sectional area (CSA) of the muscles for investigating the occurrence of asymmetry of the paraspinal (multifidus and erector spinae) and psoas muscles and its relation to the chronicity of unilateral […]

ESI Beneift Small, Not Sustained, Not Effective for Spinal Stenosis, and No Effect on Long-Term Surgery Risk

Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis: A Systematic Review and Meta-analysis Roger Chou, MD Ann Intern Med. Published online 25 August 2015 doi:10.7326/M15-0934 Background: Use of epidural corticosteroid injections is increasing. Purpose: To review evidence on the benefits and harms of epidural corticosteroid injections in adults with radicular low back pain or spinal […]

MRI of the lumbar spine with dedicated G-scan machine in the upright position

Radiol Med. 2015 Jul 28. [Epub ahead of print] Magnetic resonance imaging (MRI) of the lumbar spine with dedicated G-scan machine in the upright position: a retrospective study and our experience in 10 years with 4305 patients. Splendiani A Abstract PURPOSE: To evaluate the pathological changes of the lumbar spine and the instability of the […]

What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation? A Randomized and Observational Study

Clin Orthop Relat Res. 2015 Jun;473(6):1920-30. doi: 10.1007/s11999-014-3803-7. Kerr D, Zhao W, Lurie JD. Abstract BACKGROUND: Although previous studies have illustrated improvements in surgical cohorts for patients with intervertebral disc herniation, there are limited data on predictors of long-term outcomes comparing surgical and nonsurgical outcomes. QUESTIONS/PURPOSES: We assessed outcomes of operative and nonoperative treatment for […]

Oral Steroids for Acute Radiculopathy Due to a Herniated Lumbar Disk

Oral Steroids for Acute Radiculopathy Due to a Herniated Lumbar Disk: A Randomized Clinical Trial Harley Goldberg, DO JAMA. 2015;313(19):1915-1923. doi:10.1001/jama.2015.4468. Importance Oral steroids are commonly used to treat acute sciatica due to a herniated disk but have not been evaluated in an appropriately powered clinical trial. Objective To determine if oral prednisone is more effective […]

Gluteal Trigger Points Found in Most Lumbosacral Radiculopathy Cases

By Anne Harding March 27, 2015 NEW YORK (Reuters Health) – Most patients with lumbosacral radiculopathy have gluteal trigger points (GTrP), according to new findings. The findings raise the possibility that treating these trigger points, for example with electrical stimulation, could help ease pain in these patients, although the new study did not address this issue, Dr. […]