Author: Abd El-Rahman Taha

Passionate and highly motivated Egyptian physical therapist, interested in the spine management. Always Looking Forward to More Knowledge, and Experience.
Evidence Based Practice, Home, Lower Back Pain, Lumbar, Research Summaries

Understanding Radicular Pain: Pathophysiology and Potential Treatments

Radicular pain is caused by stimulation of the sensory root or dorsal root ganglion (DRG) of a spinal nerve (Merskey et al., 2007). Radicular pain differs from nociceptive pain in that it is caused by neural activity in the dorsal root rather than stimulation of peripheral nerve ends. As a result, it is distinct from both somatic pain and somatic-referred pain. Furthermore, radicular discomfort is … Continue reading Understanding Radicular Pain: Pathophysiology and Potential Treatments

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Back, Home, Lower Back Pain, Lumbar, Research Summaries

Management of Sciatic Scoliotic List in Lumbar Disc Herniation: Physical Therapy Approaches and Considerations

Sciatic scoliotic list (SSL) [Matsui H, et al. 1998; Krishnan KM, and Newey ML. 2001], also referred to as sciatic scoliosis [Krishnan KM, Newey ML. 2001; Kim R, et al. 2015; Zhang Y, et al. 2019], trunk list [Gillan MG, et al. 1998], or trunk shift [Wu W, et al. 2019], is observed in 13.2-17.7% of adults with lumbar disc herniation (LDH) [Kim R, et … Continue reading Management of Sciatic Scoliotic List in Lumbar Disc Herniation: Physical Therapy Approaches and Considerations

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Appraising Evidence, Back, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Neurologic, Research Questions, Research Summaries

Imaging and Management Insights for Lumbar Disc Herniation and Radicular Syndrome

Imaging Features and Early Outcomes: Research has shown that the characteristics of lumbar disc herniation on imaging can predict the early outcomes of conservative management. Saal et al. (1990) found that the largest extrusions showed the most resorption, while contained protrusions had the least. Similar findings were reported by Delauche-Cavallier (1992), Maigne (1992), Bush (1992), and Cowan (1992), who noted that young patients often exhibited … Continue reading Imaging and Management Insights for Lumbar Disc Herniation and Radicular Syndrome

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Back, Evidence Based Practice, Home, Lower Back Pain

Decoding Disc Displacements: Key Insights from Research on Diagnosis and Symptom Severity

Disc displacements, often linked to back pain, can manifest as diffuse bulges or more localized herniations. Herniations are categorized into protrusions, which remain within the outer annular fibers, and extrusions, which break through the annulus fibrosus. Typically, extrusions are larger than protrusions (Fries et al., 1982). A study by Jensen et al. (1994) involving 98 asymptomatic volunteers and 27 back pain patients found that disc … Continue reading Decoding Disc Displacements: Key Insights from Research on Diagnosis and Symptom Severity

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Back, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Neurologic

Are Lumbar Spine Imaging Findings Linked to Patients’ Symptoms?

Determining whether a specific lesion is responsible for a patient’s symptoms is crucial when selecting candidates for potential spinal surgery. However, there isn’t always a direct correlation between radicular pain and lumbar disc herniation. One can exist without the other, making diagnosis complex. Both mechanical compression and inflammatory factors contribute to the pathogenesis of sciatica. Additionally, non-radicular or pseudoradicular pain can originate from the hip, … Continue reading Are Lumbar Spine Imaging Findings Linked to Patients’ Symptoms?

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