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Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Europa Medicophysica 1998 June;34(2):75-83

lingua: Inglese

Common pseu­do­ra­dic­u­lar syn­dromes (pseudocrural and pseudosciatic pain)

Rucco V., Onorato A.

Rehabilitation Unit, Physical Medicine and Rehabilitation Hospital, Udine, Italy


The pseu­do­cru­ral and pseu­do­sciat­ic syn­dromes are clin­i­cal syn­dromes ­which ­cause ­pain in the low­er ­limbs, involv­ing the ­same are­as of the lum­bar der­ma­tomes but not the lum­bar ­nerve ­roots. Although pseu­do­ra­dic­u­lar syn­dromes may be ­caused by a varie­ty of dis­eas­es, ­many of ­these are ­quite ­rare. In ­this ­review the ­benign caus­es of pseu­do­ra­dic­u­lar syn­dromes (name­ly, ­those ­that are ­more com­mon but ­less seri­ous ­since ­they are cur­able) are examined. These syn­dromes can ­appear ­alone, coex­ist ­with a com­pres­sive ­nerve ­root syn­drome or ­else ­arise fol­low­ing the remov­al of the nucle­us pul­po­sus (by chem­o­nu­cle­ol­y­sis, Onik’s per­cut­ane­ous dis­cec­to­my by aspi­ra­tion or con­ven­tion­al ­open dis­cec­to­my). The clin­i­cal dif­fer­enc­es ­between radic­u­lar syn­dromes and pseu­do­ra­dic­u­lar syn­dromes are exam­ined and ­these ­forms are sub­di­vid­ed ­into two ­main ­groups on the ­basis of ­their under­ly­ing mech­a­nisms: pseu­do­ra­dic­u­lar syn­dromes due to ­reflex mech­a­nisms (zyga­poph­y­seal ­joint syn­drome, ili­o­lum­bar syn­drome, hip ­joint pathol­o­gy) and pseu­do­ra­dic­u­lar syn­dromes due to a pathol­o­gy of an ana­tom­i­cal struc­ture of the low­er ­limb (fibro­myal­gia, myo­fas­cial ­pain syn­dromes, ten­di­nop­a­thies of the low­er ­limbs, fas­cia ­lata and ili­o­ti­bi­al ­band pathol­o­gy, pir­i­for­mis syn­drome, ischi­at­ic tube­ros­ity frac­ture, periph­er­al ­nerve entrap­ment). Finding the ­cause of radic­u­lar ­pain is by no ­means an ­easy ­task, and no phy­si­cian can ­admit to nev­er hav­ing ­made a mis­take. Although the lat­est imag­ing tech­niques and ­close col­lab­o­ra­tion ­among cli­ni­cians, neu­ro­ra­diol­o­gists and neu­ro­sur­geons can do ­much to ­reduce the mar­gin of ­error, it is all but impos­sible to elim­i­nate it entire­ly.

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