Title |
Intensive short-term vasodilation effect in the pain area of sciatica patients - case study
|
---|---|
Published in |
BMC Research Notes, September 2014
|
DOI | 10.1186/1756-0500-7-620 |
Pubmed ID | |
Authors |
Elżbieta Skorupska, Michał Rychlik, Wiktoria Pawelec, Agata Bednarek, Włodzimierz Samborski |
Abstract |
Varied and complicated etiology of low back pain radiating distally to the extremities is still causing disagreement and controversy around the issue of its diagnosis and treatment. Most clinicians believe that the source of that pain is generally radicular. While some of them postulate the clinical significance of the sacroiliac joint syndrome, others demonstrate that almost one in five people with back pain experience symptoms indicative of the neuropathic pain component. To date, neuropathic involvement has not been completely understood, and different mechanisms are thought to play an important role. It has been established that muscle pain (myofascial pain) e.g. active trigger points from the gluteus minimus, can mimic pain similar to sciatica, especially in the chronic stage. This paper describes patients presenting with radicular sciatica (case one and two) and sciatica-like symptoms (case three). For the first time, intensive short-term vasodilation in the pain area following needle infiltration of the gluteus minimus trigger point was recorded. |
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