Articles: radiculopathy.
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Arch Phys Med Rehabil · Nov 1989
Case ReportsRegression of herniated nucleus pulposus: two patients with lumbar radiculopathy.
Thirty percent to 95% of patients with lumbar radiculopathy secondary to a bulging or herniated disc improve to a pain-free and functional level with nonsurgical treatment. What happens to the herniated disc material as this improvement occurs is unclear. We present two patients with lumbar radiculopathy documented by physical examination and electrodiagnostic testing. ⋯ CT scans were repeated in three months on one patient and four months on the other. The scans showed major resolution of the herniated disc material in both patients. These two cases demonstrate that in some patients with proven radiculopathy secondary to herniated nucleus pulposus, the herniated disc material will no longer be visible on CT scan and is presumed to resorb as the symptoms abate.
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Infrared imaging (thermography) has developed rapidly over the past 10-15 years as a diagnostic imaging procedure. Despite scientific validation and proven use in the clinical setting, neuromuscular thermography has met with much criticism and skepticism. ⋯ The basic scientific foundation of medicine should preclude the prejudicial influence of emotion, politics, and anecdotes. Scientific investigations, for more than 2 decades now, have demonstrated that neuromuscular thermography is of proven value in the clinical evaluation of various pain disorders and neuromuscular conditions, including radicular pathology.
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In 14 patients, spinal cord stimulation in lumbar radiculopathy follow multiple exploration or iterative surgery. For 10 out of this 14 patients treatment was successful; pain relief lasted a mean time of 12.7 months in 9 out of them.
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Zh Nevropatol Psikhiatr Im S S Korsakova · Jan 1989
[Thermographic examination of patients with neurologic manifestations of lumbar osteochondrosis].
The article deals with thermography data collected for 94 patients with different clinical signs of lumbar osteochondrosis (reflex, radicular, vascular, radiculo-spinal). The features of thermograms were described as depending on the leading clinical syndrome of the disease. A lack of direct correlation between the severity of the pain syndrome and thermoasymmetry was registered. The data suggest wider use of the diagnostic capacities of IR-imaging techniques in patients with vertebrogenic pathology.