Articles: back-pain.
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Psychiatr Neurol Med Psychol (Leipz) · Sep 1977
[Incidence and diagnosis of lumbosacral pouch diverticula].
The myelograms of ninety-nine patients with an ischias symptomatology were analyzed. In fifteen of the subjects there were found lumbosacral radicular pouch diverticula which, after elimination of other nosogenic factors, were considered chiefly responsible for the clinical and neurological pictures observed in six cases. The pathological and anatomical, clinical and radiographic results described by the authors represent a disease picture which is little known and, hence, not generally included in the differential diagnosis of ischialgia, but which has been found to yield to neurosurgical treatment in selected cases.
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Low back pain may arise from degenerative changes in the posterior joints of the lumbar spine. These joints are innervated by a branch of the posterior primary ramus, which follows an anatomically constant course. ⋯ Percutaneous lumbar rhizolysis was carried out under local anesthesia on an outpatient basis in 82 patients, most of whom had multiple level rhizolysis. Rhizolysis was successful in 67% of patients with mechanical low back pain without evidence of disc herniation and nerve-root compression or psychogenic pain, who had not previously undergone an operation for relief of the pain.