The prevalence of tarsal tunnel syndrome in patients with lumbosacral radiculopathy

Abstract

The findings suggest that the prevalence of TTS is significant in patients with LR. Thus, more caution should be paid when diagnosing and managing patients with LR due to the possible existence of TTS, as their management strategies are quite different.

Motor unit number index in quantitatively assessing motor root lesions and monitoring treatment outcomes in patients with lumbosacral radiculopathy

“…The participants in the normal control and LR patient groups were chosen on the basis of published previously inclusion and exclusion criteria . All patients with LR exhibited a confirmed diagnosis of unilateral L5 or S1 radiculopathy as follows: (1) low back discomfort with referred pain and/or paresthesia into a single lower limb following an L5 or S1 distribution pattern with or without muscle weakness supplied by L5 or S1 myotomes; (2) MRI revealing unilateral L5 or S1 nerve root compression by a herniated disc and/or spondylotic arthropathy at the L4/5 or L5/S1 level; (3) electrodiagnostic tests including normal sensory nerve conduction studies and a needle EMG revealing abnormal spontaneous activity such as fibrillation potentials, positive sharp waves and complex repetitive discharges only on the involved side and/or changes in motor unit action potentials (MUAP), including decreased recruitment, long‐duration, large‐amplitude, and increased polyphasia of MUAP in muscles innervated by the involved L5 or S1 root; and (4) surgical findings of unilateral compression at the L5 or S1 root on the symptomatic side if available.…”

Undiagnosed Peripheral Nerve Disease in Patients with Failed Lumbar Disc Surgery

“…The symptoms are exacerbated by prolonged standing or walking and the condition may be misdiagnosed as spinal disease. TTS has been observed in 4.8% of patients with lumbosacral radiculopathy [ 27 ], suggesting it may underlie the residual symptoms in patients with FBSS.…”

Percutaneous transforaminal endoscopic discectomy ameliorates postoperative reactive pain in patients with lumbar disc herniation

“…A total of 72 patients with unilateral lumbosacral radiculopathy caused by single-level LDH were included in this study. In the present study, forty-one patients with LDH underwent PTED, and the other 31 patients underwent traditional discectomy described by Caspar with or without laminotomy (Table 1) The inclusion criteria for patients with LDH includes [11,12] (1) low back discomfort with referral of pain or paresthesias into a single lower limb following an L4/L5/S1 distribution pattern; (2) lumbosacral magnetic resonance imaging (MRI) or computer tomography (CT) that demonstrated unilateral L4/L5/S1 nerve root compression by herniated disc at the L3/4, L4/L5 or L5/S1 level; (3) conventional electrophysiologic studies including normal sensory nerve conduction studies and a needle EMG revealing the presence of disease only on the involved side of abnormal spontaneous activity and/or changes in motor unit action potential in muscles that were innervated by the involved L4/L5/S1 root. (4) Surgical ndings of unilateral compressed herniated discs at the L4/L5/S1 root on the involved side.…”