Lumbar Radiculopathy AKA Lumbosacral Radiculopathy
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- Опубликовано: 6 окт 2024
- Dr Ozello's Sports Medicine Report: Lumbar Spine Disc Herniation and Disc Bulge
*Disclaimer: Viewing this video does not take the place of seeing a medical professional. Please visit a medical professional for evaluation, diagnosis and treatment. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Always perform all exercises through a symptom free range of motion. Begin your training at your current health, fitness and strength levels. Increase intensity in small gradual calculated increments.
Lumbar Radiculopathy (AKA Lumbosacral Radiculopathy)
Low back pain is one of the most common musculoskeletal complaints.
Low back pain is the leading cause of disability in the developed world.
Lumbar Radiculopathy (AKA Lumbosacral Radiculopathy) is a syndrome caused by compression or irritation of spinal nerve roots in the low back.
Lumbosacral radiculopathy results from irritation and/or compression of a spinal nerve root as it exits the lumbar spine. Spinal nerve roots L4, L5 and SI roots are most commonly involved.
This condition can be a significant cause of low back pain, lower extremity pain and disability. Pain is a common presenting symptom and may be accompanied by numbness, tingling, burning pain and weakness in areas innervated by the affected cervical nerve root.
The most common causes of lumbosacral radiculopathy are a lumbar disc herniation with resultant nerve root compression or spondylosis, which is a general term for spinal degeneration or spinal osteoarthritis.
Symptoms of a lumbosacral radiculopathy include low back pain that radiates into the lower extremities in a dermatomal pattern. These symptoms can include
Sharp-shooting, shock-like pain or stinging pain radiating into the lower extremity.
Numbness, tingling and/or a deep burning sensation.
Weakness.
Muscle spasm, tightness and stiffness.
Muscle guarding or splinting.
Limited active and passive range of motion due to pain and muscle guarding.
Difficultly moving in all planes.
Slow and guarded motions in all planes.
Altered gait or limping. Due to pain, altered sensations and/or weakness.
Location of radicular symptoms depends on the spinal nerve root involved.
L4
Altered Patellar Tendon reflex.
Weak Tibialis Anterior (Ankle Dorsiflexion). Possible foot drop.
Altered sensations: Pain, numbness, tingling or burning along medial lower leg and medial malleolus.
L5
Altered Medial Hamstring Tendon reflex.
Weak Extensor Hallucis Longus (Great toe extension).
Altered sensations: Pain, numbness, tingling or burning along anterior lateral lower leg and mid-dorsum of foot.
S1
Altered Achilles Tendon reflex.
Weak plantar flexion (Gastrocnemius and Soleus).
Altered sensations: Pain, numbness, tingling or burning along lateral lower leg, lateral malleolus and lateral aspect of plantar aspect of the foot.
Contributing Factors
Disc Degeneration
Osteoarthritis
Weak core and weak lumbar muscles especially the deep abdominals, deep lumbar and the gluteal muscles.
MRI: Imaging modality of choice because it is the most sensitive study to visualize a herniated disc.
Lumbar disc herniation and reduced neural foraminal space.
Prevention and Rehabilitation
Don’t stay in one position too long. Constantly shift positions. Move through a symptom free range of motion.
Supine: Hips and knees flexed. Pillow or wedge under knee and/or lower legs.
Side-Lying: Hips and knees flexed. Small pillow or leg separator between knees.
Seated: Sit in good posture. Use lumbar support.
Zero gravity chair.
Motion exercises. Slow and controlled through a symptom free range of motion.
Slow static stretching: Lumbar spine, hip flexors, glutes, hamstrings.
McKenzie Protocol if lumbar disc herniation is present.
References
Lumbosacral Radiculopathy www.ncbi.nlm.n...
Radicular Back Pain www.ncbi.nlm.n...
Chiropractic management of a 47-year-old firefighter with lumbar disk extrusion www.ncbi.nlm.n...
Disc Herniation www.ncbi.nlm.n...
Lumbar Disc Herniation www.ncbi.nlm.n...
Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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i have this, Electrical shooting back my sciatic nerve, and foot weakness
Thanks for watching my video and for commenting. If I were you, I would see a Doctor of Chiropractic for evaluation, diagnosis and treatment. Here are links to three of my videos that may provide you useful information. Please let me know if you have any questions.
Piriformis Syndrome/Sciatica ruclips.net/video/0Lv6mlUhLhM/видео.html
Two Minutes of Anatomy: Sciatic Nerve ruclips.net/video/zxr_ksEIK6E/видео.html
Interesting
Thank you. Please let me know if you have any questions.
Omg I think I have this. Been 3 years and still have no diagnosis. I have trouble walking. My leg muscles don’t relax I stumble a lot my left toe drags sometimes which makes me trip. My legs ache and burn. Muscle fatigue very fast. Numbness tingling. I can’t run anymore. Or walk fast
Thanks for watching and for commenting. If I were you, I would schedule an appointment to see a Doctor of Chiropractic for evaluation, diagnosis and treatment.
My legs twitch which gets very uncomfortable cause they won’t relax and it burns aches. Mostly when I’m tired trying to go to sleep is when the convulsions are worse. It’s like cramping.
This is a link to a playlist of my Low Back Pain videos ruclips.net/p/PLqvttwjy17BmI6UCr6f0fA0dKCwAVgHwR Please let me know if you have any questions.
Can not hear you
Thanks for letting me know.
When I sit for too long or drive I can barely stand. It like my legs seize up for a moment and my lower back tweeks out. I have to hold on to something so my muscles can relax enough I can walk again. Takes about a minute
Here is a link to my core strengthening videos. Please feel free to ask any questions. ruclips.net/p/PLqvttwjy17Bn6oDPUJmCZSnaWRxDiFBEL
Sir I have a question. Please I am having tingling and burning sensations on my feets both and I did an X-ray that show no degeneration but a straightening of my lumbar sacral spine. I sometimes have dull ache on my lumbar spine but the sensations tingling are more on my feets. I also have cervical spine straightening can have burning sensations on my arms.. my sugar level is okay. What can be the cause
Most likely there is pressure on the spinal cord or impingement on spinal nerve roots. If I were you I would see a Doctor of Chiropractic for evaluation, diagnosis and treatment. I would request MRI's of my cervical spine and lumbar spine.
Ncv shows s1 bilateral radiculopathy. Is a kind of lumbosacral radiculopathy?
Yes
Doc wjat is the right medicine of lumbar radiculopathy pain ans pl
I am a Doctor of Chiropractic and do not prescribe medication, therefore I can not correctly answer your question.
Is it ok to undergo rehab/therapy to heal the radiculopathy?
Yes. If I were you, I would receive Chiropractic Care and Massage Therapy on a consistent basis. I would perform stretches, stability exercises and strengthening exercises.
My left leg and arm are tingling and like vibration. It hurts specialy on my left hips. What is your diagnosis
It is impossible for me to give you a diagnosis without performing a consultation and examination. If I were you, I would schedule an appointment with a Doctor of Chiropractic for evaluation, diagnosis and treatment.