Difficulty of diagnosing the origin of lower leg pain in patients with both lumbar spinal stenosis and hip joint osteoarthritis

Spine
Junya SaitoKazuhisa Takahashi

Abstract

Case series. To present the difficulty of diagnosing the origin of lower leg pain in patients with lumbar spinal stenosis and hip joint arthritis. Pain arising from a degenerated hip joint is sometimes localized to the lower leg. Patients with lumbar spinal disease may also show radicular pain corresponding to the lower leg area. If patients present with both conditions and only pain at the lower leg, it is difficult to determine the origin of the pain. We reviewed 420 patients who had leg pain with lumbar spinal stenosis diagnosed by myelography, computed tomography after myelography, or magnetic resonance imaging. Pain only at the ipsilateral lateral aspect of the lower leg but slight low back pain or pain around the hip joint was shown in 4 patients who had lumbar spinal stenosis and hip osteoarthritis. The symptoms resolved after L5 spinal nerve block, but remained after lidocaine infiltration into the hip joint. We performed decompression and posterolateral fusion surgery for these 4 patients. Leg pain did not resolve after lumbar surgery in all patients. Conservative treatment was not effective from 6 to 12 months, so ultimately we performed ipsilateral total hip replacement for all patients and they became symptom-free. ...Continue Reading

References

Jan 1, 1997·Surgical and Radiologic Anatomy : SRA·K BirnbaumK D Heller
Apr 18, 1998·The Journal of Bone and Joint Surgery. British Volume·R W CrawfordD W Murray
Jan 24, 2002·Spine·Laxmaiah Manchikanti, Vijay Singh
Feb 8, 2008·The Journal of Bone and Joint Surgery. British Volume·T NakajimaY Harada
Oct 29, 2011·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yoko MiuraKazuhisa Takahashi

❮ Previous
Next ❯

Citations

Aug 20, 2015·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Martin EllenriederWolfram Mittelmeier
Apr 8, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Debra K WeinerJoseph Shega
Nov 29, 2015·The Orthopedic Clinics of North America·Daniel J BlizzardMichael P Bolognesi
Jul 13, 2016·The American Journal of Medicine·Steven F DeFrodaMatthew E Deren
Jul 28, 2016·Modern Rheumatology·Junichi NakamuraSeiji Ohtori
Mar 11, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Julie M FritzDebra K Weiner
Mar 31, 2017·Orthopedics·Daniel J BlizzardChristopher R Brown
Jan 4, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Aaron J BucklandAfshin E Razi
Jun 21, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Heidi PratherLinda VanDillen
Jan 25, 2018·Journal of Clinical Pharmacology·Domenico ChirchigliaLuca Gallelli
May 11, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Heidi Prather, Linda van Dillen
Sep 3, 2019·The Journal of Manual & Manipulative Therapy·Richard RosedaleShawn M Robbins
Dec 28, 2019·Orthopedics·David R MaldonadoBenjamin G Domb
Oct 29, 2017·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Stefan SchwanFelix Göhre
Nov 11, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Brian M CurtinLeo Spector
Oct 1, 2013·Deutsches Ärzteblatt International·Rolf KalffChristof Hopf
Aug 4, 2021·Revista española de cirugía ortopédica y traumatología·B García-MayaE García Rey

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.