Effectiveness of conservative treatments for lumbosacral radicular syndrome
: a systemic review.
Unilateral paresis of the abdominal wall: a radicular syndrome
caused by herniation of the L1-2 disc?.
Lumbar disc herniation is one of the most common causes of low back pain and/or extremity radicular syndrome
. Conservative management, including bed rest, oral anti-inflammatory and analgesics, spinal anesthetic blocks, and/or physical therapy, is recommended for treatment of lumbar disc herniations .
The objective clinical examination revealed a static and dynamic lumbar syndrome and a left S1 radicular syndrome
(algic and paresthesic radicular syndrome
In the English and American literature, references to the radicular syndrome
have been few indeed, and under this title reference had not been made to spinal osteoarthritis as the causative agent, until the appearance of Rosenheck's contribution in 1924, on radicular pain in spondylitis deformans" .
Purpose: Numerous studies have investigated the significant relationship between sciatic pain, radiating lower back pain, lumbosacral radicular syndrome
or other disk disorders and cigarette smoking; however, only few reports have demonstrated the relationship between the total smoking dose and lumbar disk herniation (LDH), a cause of lower back or sciatic pain.
A systematic review recently reported on interventional RCTs concerning conservative treatments (including physiotherapy) for lumbrosacral radicular syndrome
(Luijsterburg et al, 2007).
Recent reviews have highlighted the lack of good quality evidence upon which to base clinical decision-making with patients who have lumbosacral radicular syndrome
(LRS) (Luijsterburg et al 2007).
The first trial was of 23 patients with cervical radicular syndrome
(6); 11 patients received PRF while 12 had sham treatment of the involved DRG.
By 12 weeks, 87% of 92 patients in the bed rest group and an equal percentage of 91 patients in the control group reported improvement of their lumbosacral radicular syndrome
, in a randomized, single-blind study of 183 patients (N.
As Figure 2 shows, the major subtypes of low back pain were: acute low back strain (32%), radicular syndrome
(28%), chronic low back strain (14%), sacroiliac syndrome (10%), and posterior facet syndrome (6%).