scholarly journals Taming of the Testicular Pain Complicating Lumbar Disc Herniation With Spinal Manipulation

2020 ◽  
Vol 14 (4) ◽  
pp. 155798832094935
Author(s):  
Eric Chun Pu Chu
Keyword(s):  
Lumbar Spine ◽  
Lumbar Disc ◽  
Low Back ◽  
Chiropractic Treatment ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Disc Protrusion ◽  
Testicular Pain ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Degenerative disease of the lumbar spine is often ignored as a potential cause of testicular pain because the exact link between the two remains uncertain. This article reports the case of a 60-year-old man with a 3-year history of low back pain and unexplained right testicular pain for 2 years. Painful symptoms were negatively affecting his social, physical, and sexual functions. After failure to achieve pain relief through multiple types of therapy, the patient sought chiropractic treatment for his condition. Lumbar spine magnetic resonance imaging (MRI) revealed disc protrusion at the L1/L2, L3/L4, and L4/L5 segments causing thecal sac indentations. Due to the absence of direct testicular causes, the medical impression was chronic testicular pain (CTP) complicating lumbar disc disease. The patient experienced regular improvement in his low back and testicular pain with complete resolution of both after 8 weeks of chiropractic treatment. This article describes an overlook of the etiology of this patient’s testicular pain and a successful option in treating the patient. CTP has multifactorial etiology. An excellent treatment outcome depends heavily on recognizing the origin of the pain.

scholarly journals Anatomical gates for pain relief due to cervical and lumbar disc disease

2019 ◽  
pp. 217-220 ◽  
Author(s):  
Amjed Hammodi
Keyword(s):  
Pain Relief ◽  
Lumbar Disc ◽  
Low Back ◽  
Disc Disease ◽  
Nerve Blocks ◽  
Lumbar Disc Disease ◽  
Neural Damage ◽  
Variable Duration ◽  
Peripheral Site ◽  
Larger Sample

I propose the theory that the nerve sheath is transmitting the lignocaine chemical upwards towards the dorsal root ganglia and nerve roots which produce pain due to excitation after the disc disease. In this way, an injection of local anesthetic given far away from the actual neural damage, at a peripheral site, can relieve the pain for a variable length of time. In this case report, the author describes four specific injection points, called ‘Gates’; two of these describe pain relief in neck and upper limb, while two are specific to low back pain, hip pain and lower limb pains. Each of these was successfully used in a patient with specific pain of variable duration. Certainly, controlled studies with larger sample size, are needed to be done to understand better that how these distal nerve blocks really work.Citation: Hammodi A. Anatomical gates for pain relief due to cervical and lumbar disc disease. Anaesth. pain & intensive care 2019;23(2):217-220

scholarly journals DC2Anet: Generating Lumbar Spine MR Images from CT Scan Data Based on Semi-Supervised Learning

2019 ◽  
Vol 9 (12) ◽  
pp. 2521 ◽  
Author(s):  
Cheng-Bin Jin ◽  
Hakil Kim ◽  
Mingjie Liu ◽  
In Ho Han ◽  
Jae Il Lee ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Objective Function ◽  
Supervised Learning ◽  
Lumbar Disc ◽  
Mr Images ◽  
Disc Disease ◽  
Cardiac Pacemakers ◽  
Lumbar Disc Disease ◽  
Adversarial Network ◽  
Spine Mr

Magnetic resonance imaging (MRI) plays a significant role in the diagnosis of lumbar disc disease. However, the use of MRI is limited because of its high cost and significant operating and processing time. More importantly, MRI is contraindicated for some patients with claustrophobia or cardiac pacemakers due to the possibility of injury. In contrast, computed tomography (CT) scans are much less expensive, are faster, and do not face the same limitations. In this paper, we propose a method for estimating lumbar spine MR images based on CT images using a novel objective function and a dual cycle-consistent adversarial network (DC 2 Anet) with semi-supervised learning. The objective function includes six independent loss terms to balance quantitative and qualitative losses, enabling the generation of a realistic and accurate synthetic MR image. DC 2 Anet is also capable of semi-supervised learning, and the network is general enough for supervised or unsupervised setups. Experimental results prove that the method is accurate, being able to construct MR images that closely approximate reference MR images, while also outperforming four other state-of-the-art methods.

Non-surgical management of lumbar disc disease

1977 ◽  
Vol 15 (25) ◽  
pp. 98-99
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Metabolic Bone Disease ◽  
Lumbar Disc ◽  
Uterine Disease ◽  
Low Back ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Metabolic Bone ◽  
Objective Evidence

Persistent low back pain is often ascribed to lumbar disc disease. Frequently no objective evidence supports this and the management is designed solely to alleviate symptoms. Inflammatory arthritis, metabolic bone disease, ligamentous injuries, metastases, infections, uterine disease, retroperitoneal lesions involving the lumbo-sacral plexus, renal disease, intraspinal lesions and depression may also cause low back pain and should be considered in the management of the patient. Occasionally appropriate special investigations are necessary. Lumbar disc lesions may cause acute, sub-acute or chronic symptoms and the management differs accordingly.

Caudal epidural steroid injection for chronic low back pain: A prospective analysis of 107 patients

2021 ◽  
pp. 1-5
Author(s):  
Bahar Dernek ◽  
Suavi Aydoğmuş ◽  
İbrahim Ulusoy ◽  
Tahir Mutlu Duymuş ◽  
Sedef Ersoy ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Relief ◽  
Chronic Low Back Pain ◽  
Lumbar Disc ◽  
Lower Limbs ◽  
Low Back ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Caudal Epidural

BACKGROUND: Low back pain affects 80% of people worldwide at least once in a lifetime and reduces the quality of life and causes absence from work. OBJECTIVE: To evaluate the pain and functional status of patients with lumbar disc disease who received blind caudal epidural injections (CEI) for pain relief. METHODS: The records of 107 patients who had been given CEI between September 2017 and January 2018 were retrospectively analyzed. The inclusion criteria were age > 18 years, > 3-month history of low back pain, and diagnosis of lumbar disc disease by magnetic resonance imaging. The epidural injection solution consisted of 2 mL of betamethasone sodium and 8 mL saline. Follow-up examinations were conducted 3 and 6 months post-injection and the patients were evaluated using a visual analog scale (VAS) and the Oswestry Disability Index (ODI). RESULTS: The most common disc pathology was at the L4–L5 level. The VAS and ODI scores indicated significantly reduced pain at 3 and 6 months compared with the pre-injection baseline. Two patients experienced total anesthesia and paresis of the lower limbs, but recovered fully after 2 weeks. Blood was aspirated during the injection in two patients, but second-attempt injections were successful in both cases. No other complications were observed. CONCLUSION: Our results suggest that the blind method is safe for administering CEI to patients with chronic low back pain in the absence of radiological screening and results in significant pain relief with improved functional capacity.

scholarly journals DURAL TEAR: A FEARED COMPLICATION IN LUMBAR SPINE SURGERY

2019 ◽  
Vol 10 (4) ◽  
pp. 31-35
Author(s):  
Sohail Amir ◽  
Bilal Khan ◽  
Aurangzeb ◽  
Khaleeq-Uz-Zaman
Keyword(s):  
Lumbar Spine ◽  
Spinal Stenosis ◽  
Spinal Surgery ◽  
Lumbar Disc ◽  
Lumbar Spine Surgery ◽  
Dural Tear ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Cross Sectional ◽  
Female Ratio

ABSTRACT:OBJECTIVE: The objective of this study is to determine the incidence of dural tear in lumbar spine surgeries and associated risk factors. MATERIAL AND METHODS: In this descriptive cross sectional study, 117 Patients were studied in the department of Neurosurgery, Naseer Teaching Hospital Peshawar from February 2013 to December 2016. All patients with either gender or age who needed spinal surgery for lumbar disc disease, spinal stenosis, and re-do surgery were included in study while those with trauma, tumor and infection were excluded. Data was collected regarding the age of patients, co-morbid conditions, lumbar spine disease, level of involvement, type of operation, occurrence of dural tear, site of dural tear and complications were recorded on a predesigned proforma. Data was analyzed using SPSS version 20.0. RESULTS: Out of 117 patients 63(53.8%) were male and 54(46.1%) were female. Male to female ratio was 1.2:1. In our study the age of patient ranged from 16 to 80 years with mean age 38 + 2.34 years Dural tear occurred in 15(12.8%) of patients, among these 5 (4.2%) dural tear in lumbar disc prolapsed , 8(6.8%) in spinal stenosis and 2 (1.7%) in surgery for recurrent disc disease. The complication rate was 19(16.2%), among these the most common complication was cerebrospinal fluid leak (CSF) in 7(5.9%), delayed wound healing in 5(4.2%), discitis in 4(3.4%) and others in 3(2.5%) of patients. CONCLUSION: Dural tear (DT) is not uncommon complication during spinal surgery and represent a serious challenge for both surgeon and patients. Female, obese, older age, re-do surgery are the major risk factor for dural tear.

scholarly journals Early Rehabilitation Programs Improve Pain and Disability in Patients with Lumbar Disc Protrusion: A Prospective Controlled Study

2022 ◽  
Author(s):  
Emilian Tarcău ◽  
Dorina Ianc ◽  
Elena Sîrbu ◽  
Doriana Ciobanu ◽  
Florin Marcu ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Functional Disability ◽  
Lumbar Disc ◽  
Spinal Column ◽  
Rehabilitation Program ◽  
Controlled Study ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Disc Protrusion ◽  
Active Population

Low back pain is a common problem in the active population, and the second reason for visiting a physician. In patients with lumbar disc protrusion, the nucleus pulposus bulges against the disc and the latter protrudes into the spinal column, but the annulus fibrosus remains intact. The purpose of this study was to prove that starting an early complex rehabilitation treatment results into pain and disability reduction, and increased muscle strength and mobility in patients with lumbar disc protrusions. We performed a prospective cohort study, enrolling 60 patients (25 men and 35 women) aged between 26 to 76 years, diagnosed with lumbar disc protrusion. Patients in the experimental group registered significant improvements in all studied variables (pain, mobility, muscle strength, disability) after 6 months of treatment. The results of our study suggest that, in the lumbar disc disease, a combined rehabilitation program may be more effective in terms of pain and disability reduction, if it starts early after diagnosis. The current study proves the importance of combining electrotherapy with hydrotherapy and physical therapy. Patients who received this treatment combination showed an extremely significant improvement in pain relief, and reduction of functional disability after 6 months of treatment.

scholarly journals Hip torsional deformities at lumbar disc disease

2020 ◽  
Author(s):  
YAGMUR ISIN ◽  
EROL KAYA ◽  
ONUR HAPA ◽  
CEREN KIZMAZOGLU ◽  
ONUR GURSAN
Keyword(s):  
Lumbar Spine ◽  
Lumbar Disc ◽  
Femoral Anteversion ◽  
Clinical Findings ◽  
Acetabular Anteversion ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Control Subjects ◽  
Flexion Extension ◽  
Hip Flexion

Abstract Background Presence of lumbar spine disorder with hip diseases is defined as Hip-Spine syndrome, there might be a relation between hip torsional deformities and lumbar disc disease which has not clarified previously. Purpose of the present study was to find whether hip torsional parameters (femur, acetabular anteversion) and clinical findings (hip range of motion, hip score) differ at patients with lumbar disc disease. Methods Patients with lomber disc herniation (n: 20) and control subjects (n: 20) without any lumbar spine or hip disease were enrolled. Femoral anteversion (FeAv), acetabular anteversion (AA), center of edge angle (CE), degree of hip flexion, extension, Harris Hip scores (HHS) were evaluated bilaterally. Results HHS score, degree of extension plus flexion was lower at diseased side when it is compared to the control subjects (p < 0.001). Unilaterally affected patients had lower AA than control subjects (AA: 13 ± 40 vs16 ± 20 p:0.01). Mechanic and /or hip torsional parameters especially the acetabular retroversion may have an etiopathogenetic role at unilateral lumbar disc disease.

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