Lumbar spinal canal stenosis (LSS) is diagnosed based on physical examination and radiological documentation of lumbar spinal canal narrowing. Differential diagnosis of the level of lumbar radiculopathy is difficult in multilevel spinal stenosis. Therefore, the authors focused on gait analysis as a classification method to improve diagnostic accuracy. The goal of this study was to identify gait...

BACKGROUND Cross-sectional studies have shown associations between lumbar degenerative manifestations on magnetic resonance imaging (MRI) and low back pain (LBP). Disc herniations and other degenerative manifestations, however, frequently occur in asymptomatic individuals. The purpose of this cross-sectional study was to analyze for associations between pain intensity and degenerative manifesta...

This is an evidence-based review of electrodiagnostic (EDX) testing of patients with suspected lumbosacral radiculopathy to determine its utility in diagnosis and prognosis. Literature searches were performed to identify articles applying EDX techniques to patients with suspected lumbosacral radiculopathy. From the 355 articles initially discovered, 119 articles describing nerve conduction stud...

BACKGROUND Intervertebral disc herniations are the most common cause of lumbosacral radiculopathy, and transforaminal epidural steroid injection (TFESI) is an important tool in treating lumbosacral radiculopathy. But the ideal dose of corticosteroid in the epidural management of lumbosacral radiculopathy has yet to be determined. OBJECTIVE The aim of this study was to determine the effective ...

This study was designed to investigate the incidence of lateral root of the ulnar nerve through cadaveric dissection and to analyze its impact on myotomes corresponding to the flexor carpi ulnaris (FCU) assessed by electrodiagnostic study. Dissection of the brachial plexus (BP) was performed in 38 arms from 19 cadavers, and the connecting branches between the lateral cord and medial cord (or be...

OBJECTIVE To identify the correlations between the location of multifidus atrophy and the level of lumbar radiculopathy. METHODS Thirty-seven patients who had unilateral L4 or L5 radiculopathy were divided into 2 groups; the L4 radiculopathy (L4 RAD) group and the L5 radiculopathy (L5 RAD) group. Bilateral lumbar multifidus muscles at the mid-spinous process level of L4 vertebra (L4 MSP), the...

OBJECTIVE To clarify the relationship of skin temperature changes to clinical, radiologic, and electrophysiological findings in unilateral lumbosacral radiculopathy and to delineate the possible temperature-change mechanisms involved. METHODS One hundred and one patients who had clinical symptoms and for whom there were physical findings suggestive or indicative of unilateral lumbosacral radi...

Neuropathic pain involving an upper extremitymay be due to avarietyof peripheral or central neuropathies such as cervical radiculopathy, carpal tunnel syndrome, diabetic polyneuropathy, postherpetic neuralgia, human immunodeficiency virus–related neuropathies, central post-stroke pain, multiple sclerosis, and spinal cord injury. Montgomery et al present an interesting case of a patient with cer...

With regards to spinal disorders, neck pain is one of the most common presenting symptoms, only second to low back pain. When pain radiates down the arm and is associated with sensory and motor disturbances, cervical radiculopathy is suspected.