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[Epidural injections of steroids in the treatment of patients with chronic sciatica in discopathy].

The authors tried to assess the effectiveness of the treatment with epidural steroid injections in cases with lumbar discopathy and chronic ischialgia++. Thirty patients were given one or two injections of Depo-Medrol or Polcortolon with added bupivacaine++ into the epidural space. The same number of patients were treated without such injections. Control examinations after 21 days showed greater and earlier improvement after Depo-Medrol . The results of Polcortolon were less evident. No side effects were observed.

Anti-Inflammatory Agents↗
PubMed1991

Prevention of complications in surgical management of back pain and sciatica.

Accurate diagnosis of lumbar disc disease requires a thorough examination. Appropriate neurodiagnostic studies are required to confirm the suspected diagnosis. Other diagnoses should be considered prior to surgery, especially when there is a lack of correlation between the history, physical examination, or radiologic investigation. Proper surgical techniques should also help in preventing complications and are further discussed in this article.

Back Pain↗
PubMed1991

[A schedule for registration of pain in lumbago sciatica. A diagnostic aid].

Pain is to be registered in the clinical setting. As a subjective phenomenon, pain can only be assessed, not measured exactly. In addition to being an important outcome variable, registration of pain can be used as an aid in diagnosis. A questionnaire has been worked out for evaluation of pain in lumbagosciatica, based upon findings from patients with radicular leg pain. The method is easy to use, and gives a three-dimensional picture of localization, quality, intensity and variability of the pain.

Back Pain↗
PubMed1991

[Reoperation in failure of surgical treatment of sciatica].

39 patients have been reoperated on for failed lumbar discs. In this series enhanced MRI, enhanced CT scan and disco-CT have been used. These modern imaging means allowed a better assessment for the causes of failure; thus, only in 4 patients was a pure periradicular fibrosis disclosed. The results of reoperations are significantly better than those of a previous series of the same institution, where these imaging devices could not been used. 76% of the patients benefited from reoperation.

Adult↗
PubMed1991

The H or F wave latencies in medial gastrocnemius in the electrodiagnostic study of sciatica patients with suspected S1 radiculopathy.

The aim of this study was to test H or F wave latencies of medial head of gastrocnemius muscle for electrodiagnostic evaluation of patients with suspected S1 radiculopathy with or without additional L5 radiculopathy. A group of 97 patients (34 female and 63 male), aged 20-60 (average 44 years), with clinically suspected unilateral radiculopathy were studied. Needle EMG of medial gastrocnemius muscle was supplemented by H or F wave latencies measurement bilaterally by percutaneous stimulation of tibial nerve in cubital fossa. EMG abnormalities indicating S1 radiculopathy were followed by H or F wave latencies abnormality in 63% of patients. The rest of 37% of patients of these group showed mild EMG abnormalities followed by normal H or F wave. Normal EMG finding was followed by normal H or F wave. Normal EMG finding was followed by normal H or F wave in 64% of patients. Increased latency of H or F wave without EMG abnormalities in gastrocnemius muscle was present in 36% of patients. The results of this study have proved that measurements of H of F latencies provide the objective evidence of S1 radiculopathy, presenting with the unilateral increase of latency or the absence of response. Abnormal H response latencies without EMG abnormality confirm the condition of sensory root affection only. Mild radicular affection in S1 distribution presented from early beginning or following recovery, was accompanied by normal H or F response, and therefore this test has prognostic value for the course of disorder.

Adult↗
PubMed1991

The hamstring syndrome--a new gluteal sciatica.

The condition in which pain is felt over the area at the ischial tuberosity and radiating down the back of the thigh is labelled the hamstring syndrome. The pain is typically incurred by assuming a sitting position, stretching the affected leg or/and running fast. The symptoms are caused by tight, tendinous structures of the hamstring muscle at the area of its insertion into the ischial tuberosity. Following division of these structures, complete relief is obtained.

Adolescent↗
PubMed1990

[Neurinomas of the cauda equina as a cause of lumbar sciatica].

The clinical and radiological characteristics together with the therapeutic results in 12 cases of Cauda Equina neurinomas are analyzed. In a high percentage of cases, Cauda Equina neurinomas manifest initially as a simple lumbar sciatic syndrome, frequently not different from those caused by other more common pathologies such as lumbar discal hernia. This article discusses the possible diagnostic problems encountered with the most common currently used radiologic procedures in this type of lesions such as CT scan, myelography and NMR.

Adult↗