scholarly journals Swelling of the Leg, Deep Venous Thrombosis and the Piriformis Syndrome

2001 ◽  
Vol 6 (4) ◽  
pp. 200-203 ◽  
Author(s):  
Sara Bustamante ◽  
Peter G Houlton
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sciatic Nerve ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Lower Limb ◽  
Leg Pain ◽  
Low Back ◽  
Piriformis Syndrome ◽  
Possible Cause

BACKGROUND: The piriformis syndrome, which was first described 60 years ago, is a well recognized cause of sciatica, leg pain and low back pain, due to the entrapment of the sciatic nerve in the piriformis and other rotator muscles. Very few complications relating to this syndrome have been described.AIMS: To discuss how the piriformis syndrome may cause venous engorgement in the lower limb, and how the piriformis syndrome should be included as a possible cause of acute deep venous thrombosis in a not initially swollen leg. Both complications can occur independently.METHODS: Two cases of swelling of the leg and acute deep venous thrombosis independently associated with the piriformis syndrome are presented.CONCLUSIONS: Swelling of the leg and deep venous thrombosis are possible complications of the piriformis syndrome that occur due to entrapment of nerves and vessels within the leg, secondary to a severe spasm and hypertrophy of the piriformis and other rotator muscles.

Deep venous thrombosis and pulmonary embolism as a complication of bed rest for low back pain

2000 ◽  
Vol 81 (1) ◽  
pp. 127-129 ◽  
Author(s):  
Curtis W. Slipman ◽  
Jason S. Lipetz ◽  
Howard B. Jackson ◽  
Edward J. Vresilovic
Keyword(s):  
Pulmonary Embolism ◽  
Low Back Pain ◽  
Back Pain ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Bed Rest ◽  
Low Back

scholarly journals THE EFFECT OF RASNAAMRITADI KASHAYAM IN GRIDHRASI: A CASE STUDY

2020 ◽  
Vol 11 (5) ◽  
pp. 15-17
Author(s):  
Reshmi K Pillai ◽  
K Govindan Namboodiri
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sciatic Nerve ◽  
Male Patient ◽  
Lower Limb ◽  
Lower Limbs ◽  
Low Back ◽  
Patient Complaints ◽  
One Year

Gridhrasi is one of the 80 Nanatmaja Vata Vyadhi, which is caused by the aggravation of Vata Dosha; it can be divided into Vataja and Vatakaphaja. Gridhrasi can be equated with sciatica where pain, weakness, numbness and other discomfort along the path of sciatic nerve often accompanies with low back pain. In this study, 49 years old male patient complaints of low back pain radiating to both lower limb since one year, he was also complaining numbness on right lower limb. During clinical examination SLR test, Lasegue’s sign were positive on both lower limbs. He was diagnosed as Gridhrasi. Patient was advice to take Rasnaamritadi Kashayam twice daily in a dose of 50 ml one hour before meals. Rasnaamritadi Kashaya mentioned in Yoga amritam text Vata Vyadhi Chikitsa chapter. Drug mentioned in the yoga possess Vatahara, Kaphahara, Amapachana, Shoolahara and Shophahara property. After 30 days of treatment, he got 75% relief in low back pain and 90% relief in radiating pain and also there was an improvement in SLR and Lasegue’s sign.

Deep venous thrombosis and pulmonary embolism as a complication of bed rest for low back pain

2000 ◽  
Vol 81 (1) ◽  
pp. 127-129 ◽  
Author(s):  
Curtis W. Slipman ◽  
Jason S. Lipetz ◽  
Howard B. Jackson ◽  
Edward J. Vresilovic
Keyword(s):  
Pulmonary Embolism ◽  
Low Back Pain ◽  
Back Pain ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Bed Rest ◽  
Low Back

scholarly journals The Piriformis Syndrome: Evaluation of Seven Cases

2019 ◽  
Vol 3 (1) ◽  
pp. 71-74
Author(s):  
Farhad Mustafa Mousa ◽  
Zainab Aziz Bakr
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sciatic Nerve ◽  
Physical Examination ◽  
Radicular Pain ◽  
Herniated Disc ◽  
Low Back ◽  
Piriformis Syndrome ◽  
Lower Limb Pain ◽  
History Of

Low back pain is one of the causes of Piriformis syndrome. Low back pain is the second most common medical complaints encountered by physicians. More than 50% of the population will complain of low back pain at the same time. Piriformis syndrome may constitute up to 5% of cases of low back pain, buttock pain, and lower limb pain. This is a prospective and case–control study. In this study, we study 268 cases with low back pain; in 268 cases, seven cases had Piriformis syndrome. We studied pain, severity pain, radicular pain, limping, and painful sitting. Evaluation of musculoskeletal, BMI, and physical examination of Piriformis sign, Freiberg sign, and pace sign. Neurological evaluation was taken by paraclinical examination elevated through X-ray, computed tomography scan, magnetic resonance imaging, and electromyography. Data as mean + standard deviation. And SPSS software for analysis. In 268 cases with conservative method, 100% of cases were cure treatment after 4 months, in contrast to surgery methods after 1 month. The result illustrated the significantly improved between two methods of treatment (P < 0.0025). In seven cases, four cases had a history of blunt trauma and one case had a history of surgery that after 6 months had complication of surgery and scare tissue that with the second surgery release of scare was done with 100% cure. Anomaly of Piriformis muscle was seen in one case that surgery was done. Tumor was seen in one case that had pressure effect on sciatic nerve that surgery was done. Heterotopic ossification was seen in two cases. BMI of all cases was in normal range. All cases with diagnosis of disc herniation were excluded from the study. They were need to surgical operation for herniated disc. Piriformis syndrome is differentiated primary from secondary type, in which it is done according to history and physical examination. According to the etiology of Piriformis syndrome, the treatments are different. If you see mass that compressed the sciatic nerve, you must remove it. If the patient had sacroiliitis, it must be treated in early phase. Surgery of Piriformis is not accepted by all surgeons. It is limited to release Piriformis tendon and insertion to femur.

scholarly journals Activity Characteristics and Movement Patterns in People With and People Without Low Back Pain Who Participate in Rotation-Related Sports

2013 ◽  
Vol 22 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Ruth L. Chimenti ◽  
Sara A. Scholtes ◽  
Linda R. Van Dillen
Keyword(s):  
Risk Factor ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Movement Pattern ◽  
Low Back ◽  
Habitual Activity ◽  
Design Case ◽  
Lower Limb Movement ◽  
Activity Questionnaire

Many risk factors have been identified as contributing to the development or persistence of low back pain (LBP). However, the juxtaposition of both high and low levels of physical activity being associated with LBP reflects the complexity of the relationship between a risk factor and LBP. Moreover, not everyone with an identified risk factor, such as a movement pattern of increased lumbopelvic rotation, has LBP.Objective:The purpose of this study was to examine differences in activity level and movement patterns between people with and people without chronic or recurrent LBP who participate in rotation-related sports.Design Case:Case-control study.Setting:University laboratory environment.Participants:52 people with chronic or recurrent LBP and 25 people without LBP who all play a rotation-related sport.Main Outcome Measures:Participants completed self-report measures including the Baecke Habitual Activity Questionnaire and a questionnaire on rotation-related sports. A 3-dimensional motion-capture system was used to collect movement-pattern variables during 2 lower-limb-movement tests.Results:Compared with people without LBP, people with LBP reported a greater difference between the sport subscore and an average work and leisure composite subscore on the Baecke Habitual Activity Questionnaire (F = 6.55, P = .01). There were no differences between groups in either rotation-related-sport participation or movement-pattern variables demonstrated during 2 lower-limb-movement tests (P > .05 for all comparisons).Conclusions:People with and people without LBP who regularly play a rotation-related sport differed in the amount and nature of activity participation but not in movement-pattern variables. An imbalance between level of activity during sport and daily functions may contribute to the development or persistence of LBP in people who play a rotation-related sport.

Microendoscopic Decompression for Lumbar Spinal Stenosis Associated with Adjacent Segment Disease following Lumbar Fusion Surgery: 5-year Follow-up of a Retrospective Case Series

2021 ◽  
Author(s):  
Shizumasa Murata ◽  
Akihito Minamide ◽  
Yukihiro Nakagawa ◽  
Hiroshi Iwasaki ◽  
Hiroshi Taneichi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Japanese Orthopaedic Association ◽  
Leg Pain ◽  
Adjacent Segment ◽  
Low Back ◽  
Spinal Decompression ◽  
Analog Scale ◽  
Clinically Important Difference ◽  
Lumbar Spinal

Abstract Background and Study Aims Surgical treatment options for lumbar spinal stenosis (LSS) based on adjacent segment disease (ASD) after spinal fusion typically involve decompression, with or without fusion, of the adjacent segment. The clinical benefits of microendoscopic decompression for LSS based on ASD have not yet been fully elucidated. We aimed to investigate the clinical results of microendoscopic spinal decompression surgery for LSS based on ASD. Patients and Methods From 2011 to 2014, consecutive patients who underwent microendoscopic spinal decompression without fusion for LSS based on ASD were enrolled. Data of 32 patients (17 men and 15 women, with a mean age of 70.5 years) were reviewed. Japanese Orthopaedic Association score and low back pain/leg pain visual analog scale score were utilized to measure neurologic and axial pain outcomes, respectively. Additionally, after the surgeries, we analyzed the magnetic resonance imaging (MRI), computed tomography (CT) scans, or radiographs to identify any new instabilities of the decompressed segments or progression of ASD adjacent to the decompressed segments. Results The Japanese Orthopaedic Association recovery rate at the 5-year postoperative visit was 49.2%. The visual analog scale scores for low back pain and leg pain were significantly improved. The minimum clinically important difference for leg pain (decrease by ≥24 mm) and clinically important difference for low back pain (decrease by ≥38 mm) were achieved in 84% (27/32) and 72% (23/32) of cases, respectively. Regarding new instability after microendoscopic decompression, no cases had apparent spinal instability at the decompression segment and adjacent segment to the decompressed segment. Conclusions Microendoscopic spinal decompression is an effective treatment alternative for patients with LSS caused by ASD. The ability to perform neural decompression while maintaining key stabilizing structures minimizes subsequent clinical instability. The substantial clinical and economic benefits of this approach may make it a favorable alternative to performing concurrent fusion in many patients.

Prevalence of Low Back Pain and Relationship to Mental Health Symptoms and Quality of Life After a Deployment-related Lower Limb Amputation

Spine ◽  
2020 ◽  
Vol 45 (19) ◽  
pp. 1368-1375
Author(s):  
Brittney Mazzone ◽  
Shawn Farrokhi ◽  
Brad D. Hendershot ◽  
Cameron T. McCabe ◽  
Jessica R. Watrous
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Health Symptoms

scholarly journals Severe low back pain as the initial symptom of venous thrombosis of the inferior vena cava

2014 ◽  
Vol 2014 (aug24 1) ◽  
pp. bcr2014205259-bcr2014205259
Author(s):  
M. A. W. Tabatabai ◽  
V. M. Butros ◽  
S. A. Mahdi ◽  
M. J. Ahmad
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Inferior Vena Cava ◽  
Venous Thrombosis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Initial Symptom ◽  
Low Back
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