11. Lumbosacral Radicular Pain

@article{vanBoxem201011LR,
  title={11. Lumbosacral Radicular Pain},
  author={Koen van Boxem and Jianguo Cheng and Jacob Patijn and Maarten van Kleef and Arno Lataster and Nagy Mekhail and Jan van Zundert},
  journal={Pain Practice},
  year={2010},
  volume={10}
}
Lumbosacral radicular pain is characterized by a radiating pain in one or more lumbar or sacral dermatomes; it may or may not be accompanied by other radicular irritation symptoms and/or symptoms of decreased function. The annual prevalence in the general population, described as low back pain with leg pain traveling below the knee, varied from 9.9% to 25%, which means that it is presumably the most commonly occurring form of neuropathic pain. 
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The clinical spectrum of lumbosacral and thoracic radiculopathies is reviewed, including relevant anatomic and pathophysiologic considerations, diagnosis, management, and prognosis.
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A divergence in approach between pain physicians and other specialists in the field of rheumatology and orthopaedics raises important questions about the pathophysiology of lumbar radicular pain.
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Epiduroscopy aids in identifying painful structures in the epidural space, establishing a diagnosis and administering therapy, and the novelty consists in the use of an epiduroscope to deliver therapies such as adhesiolysis and targeted administration of epidural medications.
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The Dutch Society of Anesthesiologists, in collaboration with the Dutch Orthopedic Association and the Dutch Neurosurgical Society, has taken the initiative to develop the guideline “Spinal low back pain,” which describes the evidence regarding diagnostics and invasive treatment of the most common spinal low backPain syndromes.
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TLDR
PRF treatment of the dorsal root ganglion (DRG) may be considered for patients with chronic, severe lumbosacral radicular pain refractory to conventional medical management.
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TLDR
PRF treatment of the DRG may be considered for patients with chronic severe lumbosacral radicular pain refractory to conventional medical management when other noninvasive or surgical procedures fail.
Straight Leg Raise Test
TLDR
The straight leg raise test also called the Lasegue test, is a fundamental neurological maneuver during the physical examination of the patient with lower back pain aimed to assess the sciatic compromise due to lumbosacral nerve root irritation and is one of the most commonly performed maneuvers across clinical practice.
T2 mapping of lumbosacral nerves in patients suffering from unilateral radicular pain due to degenerative disc disease.
TLDR
T2 values of lumbosacral nerves might be used as more objective parameters to directly detect nerve affection in patients suffering from LRS, as one of the first of its kind.
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