Lower back pain caused by radiculopathy induced by lumbar stenosis - literature review
DOI:
https://doi.org/10.12775/JEHS.2023.43.01.008Keywords
back pain, radiculopathy, lumbar stenosisAbstract
Introduction: Lumbar spine pain is a common clinical problem. Due to the multitude of causes of pain, it is important to know the most common ones in order to choose an effective method of treatment.
The aim of this study: Summary of current knowledge regarding back pain caused by radiculopathy associated with lumbar stenosis.
Material and method: The review includes publications published in 1995-2020. The search of the publications in the Pubmed database was carried out using the following keywords: back pain, radiculopathy, lumbar stenosis.
Description of the stage of the knowledge: Lumbar radiculopathy caused by lumbar stenosis is a common clinical problem, especially in older age groups. In diagnostics, an interview with the patient, physical examination and imaging tests - especially CT and MRI - are important. In most patients, conservative treatment is sufficient - the use of analgesics and anti-inflammatory drugs and physiotherapy. In justified cases, surgical treatment should be considered as the most effective causative treatment of the disease. In the last 20 years, the availability of both diagnostic methods has increased and new surgical techniques have appeared, aiming at minimally invasive treatment.
Summary: Radiculopathy caused by lumbar stenosis is a contributing factor to the occurrence of pain, which can hinder the normal functioning of the patient.Proper diagnosis, identification of the impact and methods of treatment, both conservative and surgical, can help the patient and affect his quality of life. Early diagnosis and treatment are crucial for the effective treatment of pain associated with radiculopathy caused by lumbar stenosis.
References
Arts MP, Kuršumović A, Miller LE, et al. Comparison of treatments for lumbar disc herniation: Systematic review with network meta-analysis. Medicine. 2019;98:e14410.
Awad JN, Moskovich R. Lumbar Disc Herniations: Surgical versus Nonsurgical Treatment. Clinical Orthopaedics & Related Research. 2006;443:183–197.
Benoist M, Boulu P, Hayem G. Epidural steroid injections in the management of low-back pain with radiculopathy: an update of their efficacy and safety. Eur Spine J. 2012;21:204–213.
Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain. 2009;147:17–19.
Cannon DE, Dillingham TR, Miao H, et al. Musculoskeletal Disorders in Referrals for Suspected Lumbosacral Radiculopathy. American Journal of Physical Medicine & Rehabilitation. 2007;86:957–961.
Chou R, Deyo R, Friedly J, et al. Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017;166:493.
Chouteau WL, Annaswamy TM, Bierner SM, et al. Interrater Reliability of Needle Electromyographic Findings in Lumbar Radiculopathy. American Journal of Physical Medicine & Rehabilitation. 2010;89:561–569.
Demetriades AK. Insights into the inflammatory process of lumbar discopathy. Acta Neurochir. 2020;162:87–88.
Dzierżanowski M, Dzierżanowski M, Wrzecion K, et al. Discopathy of the Lumbar-Sacral Segment and Its Influence on Sexual Dysfunction.
Ostelo RW. Physiotherapy management of sciatica. Journal of Physiotherapy. 2020;66:83–88.
Patel E, Perloff M. Radicular Pain Syndromes: Cervical, Lumbar, and Spinal Stenosis. Semin Neurol. 2018;38:634–639.
Qaseem A, Wilt TJ, McLean RM, et al. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017;166:514.
Rogerson A, Aidlen J, Jenis LG. Persistent radiculopathy after surgical treatment for lumbar disc herniation: causes and treatment options. International Orthopaedics (SICOT). 2019;43:969–973.
Stochkendahl MJ, Kjaer P, Hartvigsen J, et al. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J. 2018;27:60–75.
Tarulli AW, Raynor EM. Lumbosacral Radiculopathy. Neurologic Clinics. 2007;25:387–405.
Tawa N, Rhoda A, Diener I. Accuracy of clinical neurological examination in diagnosing lumbo-sacral radiculopathy: a systematic literature review. BMC Musculoskelet Disord. 2017;18:93.
Vulfsons S, Bar N, Eisenberg E. Back Pain with Leg Pain. Curr Pain Headache Rep. 2017;21:32.
Ahn Y. Endoscopic spine discectomy: indications and outcomes. International Orthopaedics (SICOT). 2019;43:909–916.
Casey E. Natural History of Radiculopathy. Physical Medicine and Rehabilitation Clinics of North America. 2011;22:1–5.
McNeely ML, Torrance G, Magee DJ. A systematic review of physiotherapy for spondylolysis and spondylolisthesis. Manual Therapy. 2003;8:80–91.
Orita S, Inage K, Eguchi Y, Kubota G, Aoki Y, Nakamura J, et al. Lumbar foraminal stenosis, the hidden stenosis including at L5/S1. Eur J Orthop Surg Traumatol. 2016 Oct;26(7):685–93.
Jain N, Acharya S, Adsul NM, Haritwal MK, Kumar M, Chahal RS, et al. Lumbar Canal Stenosis: A Prospective Clinicoradiologic Analysis. J Neurol Surg A Cent Eur Neurosurg. 2020 Sep;81(05):387–91.
Bydon M, Alvi MA, Goyal A. Degenerative Lumbar Spondylolisthesis. Neurosurgery Clinics of North America. 2019 Jul;30(3):299–304.
Schönström N, Willén J. Imaging Lumbar Spinal Stenosis. Radiologic Clinics of North America. 2001 Jan;39(1):31–53.
Lai MKL, Cheung PWH, Cheung JPY. A systematic review of developmental lumbar spinal stenosis. Eur Spine J. 2020 Sep;29(9):2173–87.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Michał Turek, Aleksandra Winiarz, Paula Szlendak, Katarzyna Toś, Kacper Wojtala, Sylwia Grosman, Agata Węgrzyniak, Dominik Drobek, Katarzyna Wąsala, Wojciech Wokurka
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 470
Number of citations: 0
