Lasègue’s Sign

Kamath, Surendra U.; Kamath, Shaila S

doi:10.7860/jcdr/2017/24899.9794

Cited by 15 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Compression loads on the lumbar spine can exceed 30 kN in powerlifting 17 . This extreme axial compressive loading and shear force on the 40% recall specific traumatic event; generally activityrelated pain only 75 Axial back pain 1/2 radicular symptoms, worsened by hyperextension of the lumbar spine 23,74,75 The Michelis test (patient performs hyperextension of the lumbar spine while standing on one leg); sensitivity (50%-73%) and specificity (17%-32%) of low-to-moderate utility 37 Plain radiographs with PA, lateral, and oblique views ("Scotty dog" sign in the oblique view 23 )…”

Section: Lumbar Disk Degenerationmentioning

confidence: 99%

Chronic Lower Back Pain in Weight Lifters

2023

View full text Add to dashboard Cite

Chronic lower back pain (LBP) is common in both nonathletes and weight lifters, but the diagnosis and treatment should be approached differently in these 2 populations based on the unique movement patterns causing the pain.Injury rates of weight lifters are far less than those of contact sports, ranging from 1.0 to 4.4 injuries per 1,000 workout hours. However, the lower back was consistently one of the top 2 injury sites for weight lifters, accounting for anywhere from 23% to 59% of all injuries. LBP was most often associated with the squat or deadlift.Guidelines for evaluating general LBP are applicable to weight lifters, including a thorough history and physical examination. However, the differential diagnosis will change based on the patient's lifting history. Of the many etiologies of back pain, weight lifters are most likely to be diagnosed with muscle strain or ligamentous sprain, degenerative disk disease, disk herniation, spondylolysis, spondylolisthesis, or lumbar facet syndrome.Traditional recommended therapies include nonsteroidal anti-inflammatory drugs, physical therapy, and activity modification, which are often insufficient to resolve pain and prevent injury recurrence. Because most athletes will want to continue to lift weights, lifting-specific behavior modifications focused on improved technique and correcting mobility and muscular imbalances are important aspects of management in this patient population.

show abstract

Section: Lumbar Disk Degenerationmentioning

confidence: 99%

Chronic Lower Back Pain in Weight Lifters

2023

View full text Add to dashboard Cite

show abstract

“…If the facet lesions compress the spinal cord, they produce central spinal stenosis; if these lesions grow enough to compress the DRG, they produce foraminal stenosis, provoking radicular pain. Provocation of radicular pain from thorough physical examination of a positive straight leg raising or Lasègue test suggests the lesions compressing the DRG, and further evaluation for imaging diagnosis is needed [ 13 ].…”

Section: Main Bodymentioning

confidence: 99%

Facet joint disorders: from diagnosis to treatment

Yoo,

Kim

2023

Korean J Pain

View full text Add to dashboard Cite

One of the most common sources of spinal pain syndromes is the facet joints. Cervical, thoracic, and lumbar facet joint pain syndromes comprise 55%, 42%, and 31% of chronic spinal pain syndromes, respectively. Common facet joint disorders are degenerative disorders, such as osteoarthritis, hypertrophied superior articular process, and facet joint cysts; septic arthritis; systemic and metabolic disorders, such as ankylosing spondylitis or gout; and traumatic dislocations. The facet pain syndrome from osteoarthritis is suspected from a patient’s history (referred pain pattern) and physical examination (tenderness). Other facet joint disorders may cause radicular pain if mass effect from a facet joint cyst, hypertrophied superior articular process, or tumors compress the dorsal root ganglion. However, a high degree of morphological change does not always provoke pain. The superiority of innervating nerve block or direct joint injection for diagnosis and treatment is still a controversy. Treatment includes facet joint injection in facet joint osteoarthritis or whiplash injury provoking referred pain or decompression in mass effect in cases of hypertrophied superior articular process or facet joint cyst eliciting radicular pain. In addition, septic arthritis is treated using a proper antibiotic, based on infected tissue or blood culture. This review describes the diagnosis and treatment of common facet joint disorders.

show abstract

“…La première limite du signe de Lasègue est que son interprétation et sa réalisation diffèrent selon les auteurs : certains ne le considèrent positif que s'il ne reproduit la douleur connue qu'entre 30° et 70° d'élévation du membre, voire avant 45° [5]. D'autres, fidèles à la description qu'avait faite, non Charles Lasègue, mais un de ses élèves (Jean Forst), précisent que pour augmenter la spécificité du signe, il faut, une fois reproduite la douleur du patient en élevant sa jambe tendue, fléchir ensuite un peu son genou, et retendre le nerf sciatique en réalisant une dorsiflexion de la cheville, pour vérifier que la douleur est à nouveau réveillée [5] (Figure 1). Cette manoeuvre de Lasègue 'complète' confirme que la seule élévation passive du membre inférieur tendu (appelée aussi SLR : straight leg raising)(Figure 2) n'est pas faussement positive du fait de la mise en tension des ischio-jambiers [6].…”

Section: -Imprécisions Et Insuffisances Du Signe De Lasègueunclassified

“…Le signe de la corde de l'arc (bowstring sign, ou cram test) a été initialement décrit en 1888 par Gowers. Il consiste à reproduire la douleur sciatique connue du patient à la pression des nerfs péroniers, derrière et/ou sous la tête de la fibula, et/ou des nerfs tibiaux dans le creux poplité [5], sur des nerfs 'pré-tendus' à la fin de la manoeuvre de Lasègue (au moment où on détend un peu le genou avant de réaliser une dorsiflexion de cheville de confirmation de réveil de la douleur) [49] (Figure 6).…”

Section: -3 : Signe De La Corde De L'arc (Bowstring Sign)unclassified