D. Scott Kreiner, MD Published Online: November 18, 2013 Background context The objective of the North American Spine Society’s (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of lumbar disc herniation with radiculopathy. The guideline […]
December 1, 2013 Volume 13, Issue 12, Pages 1849–1857 Lars Grøvle, MD, PhD Abstract Background context Little is known about the prognostic factors for work-related outcomes of sciatica caused by disc herniation. Purpose To identify the prognostic factors for return to work (RTW) during a 2-year follow-up among sciatica patients referred to secondary care. Study […]
The main finding is that individual clinical index tests lack diagnostic accuracy for predicting whether a lumbar nerve root is impinged or not at a specific level in patients with chronic lumbar radiculopathy in specialised care.
Rainville, James MD; Lopez, Edrick MD, JD Spine 01 July 2013 Vol. 38 – Issue 15: p 1282–1287 Abstract Study Design. Comparative study using combined data from 2 prospective cohort studies. Objective. To expose the differences between the clinical characteristics of neurogenic claudication from magnetic resonance image-documented lumbar spinal stenosis (LSS) and lumbosacral radicular syndrome […]
This systematic review and meta-analysis demonstrate that neurological testing procedures have limited overall diagnostic accuracy in detecting disc herniation with suspected radiculopathy.
Neurophysiol Clin. 2013 Oct;43(4):205-15. doi: 10.1016/j.neucli.2013.05.004. Epub 2013 Jun 20. Mondelli M, Aretini A, Arrigucci U, Ginanneschi F, Greco G, Sicurelli F. Abstract STUDY AIM: This prospective study aim to examine whether clinical findings and electrodiagnostic testing (EDX) in patients with lumbosacral monoradiculopathy due to herniated disc (HD) differ as a function of root involvement […]
Taylor, Christopher S. BSc, MBBS Spine: 20 May 2013 – Volume 38 – Issue 12 – p 995–998 Abstract Study Design. Observational case series. Objective. To compare the pattern of distribution of radicular pain with published dermatome charts. Summary of Background Data. Dermatomal charts vary and previous studies have demonstrated significant individual subject variation. Methods. […]
Al-Shoha A, et al. Spine (Phila Pa 1976). 2012 Dec 1;37(25):E1567-71. doi: 10.1097/BRS.0b013e318270280e. Abstract STUDY DESIGN: A prospective, observational study. OBJECTIVE: To evaluate the effect of epidural steroid injection (ESI) on bone mineral density (BMD) in postmenopausal women. SUMMARY OF BACKGROUND DATA: ESIs are used to treat the pain associated with radiculopathy. Although it is […]
The Study: A randomized, controlled, double-blind trial of fluoroscopic caudal epidural injections in the treatment of lumbar disc herniation and radiculitis The Facts: a. The authors evaluated the effectiveness of the procedure of fluoroscopically directed caudal epidural injections for chronic low back/lower extremity pain. This was done for patients who suffered from disc herniation and […]