Analysis of 200 cases reveals that the two neurological syndromes, brachial neuritis and myelopathy, associated with cervical spondylosis are distinct with relatively little overlap. While upper limb motor and sensory loss are doubtless due to nerve root compression in cases of "pure' brachial neuritis, they are more likely to be due to cord damage in cases with myelopathy (with spastic parapar...

L5–S1 disc and that your pain is probably coming from it. A discogram is suggested. You have no pain from discography at L3–4 or at L4–5, and you are told that both of these discs are normal. The discogram at L5–S1 is abnormal in appearance, and it instantly reproduces your pain pattern, making the pain flare up in the same areas that hurt every day. When local anesthetic is injected into the d...

An attempt was made to determine the relative contribution of various structures to chronic low back pain, including facet joint(s), disc(s), and sacroiliac joint(s) in a prospective evaluation. Precision diagnostic blocks, including disc injections, facet joint blocks, and sacroiliac joint injections, are frequently used. In contrast, selective nerve root blocks or transforaminal epidural inje...

Treatment for chronic low back pain (pain persisting for over 3 months) falls into three broad categories: monotherapies, mulitidisciplinary therapy, and reductionism. Most monotherapies either do not work or have limited efficacy (eg, analgesics, non-steroidal anti-inflammatory drugs, muscle relaxants, antidepressants, physiotherapy, manipulative therapy and surgery). Multidisciplinary therapy...

STUDY DESIGN Electronic survey. OBJECTIVE To identify the surgical treatment patterns for low back pain (LBP), among U.S. spine surgeons. Specifically determine (1) differences in surgical treatment responses based on various demographic variables; (2) probability of disagreement based on surgeon subgroups. SUMMARY OF BACKGROUND DATA Multiple surgical and nonsurgical treatments exist for LB...