![]() Sensory loss in the painful dermatome was the most frequent finding at physical examination (56% of cases). One hundred and eight patients (mean age 47.7 years, 55% men) were consecutively enrolled. Multivariate logistic regression was performed in order to verify the association between abnormal EMG, clinical, and neuroradiological findings. ![]() We compared the sensitivities of clinical findings and EDX with respect to both root involvement level and HD zone. The diagnosis was based on a congruence between patient history and MRI evidence of HD. All patients with L4, L5 or S1 monoradiculopathy were prospectively enrolled at four electromyography (EMG) labs over a 2-year period. 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 level (L5 vs. Mondelli, M Aretini, A Arrigucci, U Ginanneschi, F Greco, G Sicurelli, F The evaluation of radicular latency duration with neuromidin test turned out to have important predictive value which could be used to stratify treatment of patients with dorsopathies.Ĭlinical findings and electrodiagnostic testing in 108Â consecutive cases of lumbosacral radiculopathy due to herniated disc. The complex management of patients, including neuromidin and epidural glucocorticoid blockades, demonstrated the greater effectiveness. There was a definite resistance to treatment in patients with FBSS. We studied the effectiveness of conservative treatment in 60 patients with lumbosacral dorsopathies, including 35 patients manifested with exacerbation of sciatica and 25 patients diagnosed with failed back surgery syndrome (FBSS). We approbated and modified a method for assessment of radicular latency duration in patients with lumbosacral radiculopathies to evaluate its diagnostic value and the possibility of using in monitoring of effectiveness of conservative treatment. ![]() Otherwise, we could identify patients that demand intensive treatment including therapeutic blockades. Unfortunately, nowadays there are no reliable ways to predict the outcomes of the conservative treatment in patients with dorsopathies. Zhivolupov, S A Vorob'eva, M N Samartsev, I N Rashidov, N A Thus, more caution should be paid when diagnosing and managing patients with LR due to the possible existence of TTS, as their management strategies are quite different. The findings suggest that the prevalence of TTS is significant in patients with LR. Gluteal trigger point was identified in 207 (76.4%) of the 271 patients with radiculopathy, compared with 3 (1.9%) of 152 healthy volunteers (P 0.05). Of 441 screened patients, 271 met all the inclusion criteria for lumbosacral radiculopathy and were included in the study. The primary outcome of the study was the presence or absence of gluteal trigger point in the gluteal region of the patients and the control group. Age- and sex-matched clusters of healthy volunteers were selected as the control group. In a cross-sectional, multistage sampling method, patients with clinical, electromyographic, and magnetic resonance imaging findings consistent with lumbosacral radiculopathy were examined for the presence of gluteal trigger point. The objective of this study was to compare the prevalence of gluteal trigger point in patients with lumbosacral radiculopathy with that in healthy volunteers. Is There an Association Between Lumbosacral Radiculopathy and Painful Gluteal Trigger Points?: A Cross-sectional Study.Īdelmanesh, Farhad Jalali, Ali Jazayeri Shooshtari, Seyed Mostafa Raissi, Gholam Reza Ketabchi, Seyed Mehdi Shir, Yoram
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