Related Experiment Videos
Lumbosacral radiculopathy
Andrew W Tarulli1, Elizabeth M Raynor
1Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Neurologic Clinics
|April 21, 2007
Summary
Lumbosacral radiculopathy affects 3-5% of people, often caused by age-related degenerative changes. This common neurological disorder
Area of Science:
- Neurology
- Epidemiology
- Musculoskeletal Disorders
Background:
- Lumbosacral radiculopathy is a frequent neurological disorder, commonly referred for electromyography.
- Its prevalence is estimated between 3% and 5%, affecting men and women equally.
- Degenerative spondyloarthropathies are the primary cause, increasing with age.
Purpose of the Study:
- To discuss the clinical presentation of lumbosacral radiculopathy.
- To outline the initial management strategies for various etiologies.
- To provide insight into the epidemiology of this condition.
Main Methods:
- Review of epidemiological data on lumbosacral radiculopathy.
- Analysis of clinical presentations across different causes.
- Discussion of established management protocols.
Main Results:
- Prevalence estimated at 3-5%, with equal gender distribution.
- Symptom onset typically in 40s for men, 50s-60s for women.
- Degenerative changes are the leading cause.
Conclusions:
- Lumbosacral radiculopathy is a prevalent condition, primarily linked to aging and degenerative diseases.
- Understanding its epidemiology and presentation is key for effective neurologist evaluation and management.
- Initial management strategies vary based on etiology.
Related Concept Videos
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Spinal Nerves: Plexus II
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
Local Anesthetics: Clinical Application as Spinal Anesthesia
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...