Tag: discogenic

  • Practical Low Back Pain Examination & Diagnosis

    Low back pain is a common problem that affects many people. A thorough examination is important for identifying the underlying cause of the pain. The examination should include taking a detailed history of the patient’s symptoms, including how the pain started, the location of the pain, the duration of the pain, and any related symptoms such as leg pain, numbness or tingling.

    I have summarized some of the most common LBP conditions found in practice: lumbar facet pain, sacroiliac joint pain, discogenic pain, and lumbosacral radicular pain. I hope this can be a practical guide to diagnose the patient’s source of pain. 

  • Discogenic Lumbar Pain

    Discogenic lumbar pain refers to lower back pain caused by damage or injury to the intervertebral discs, which are the flexible, fibrous cushions that separate each vertebrae of the spine. Discogenic lumbar pain can occur due to degenerative changes to the discs or acute injury, leading to herniation or bulging of the disc. This can put pressure on the nerves in the spinal cord or cause inflammation, leading to pain, stiffness, weakness, and numbness in the lower back, buttocks, and legs. Discogenic lumbar pain often presents as chronic and persistent discomfort that may worsen with movement or physical activity.

    This file is a summary I made from one of the pain textbook “Evidence-based  Interventional Pain Medicine according to Clinical Diagnoses” which I would recommend to anyone interested in pain intervention. I’ve summarized the basic patophysiology, diagnosis and interventional treatment, but the book only covers rami communican block technique. I’ve had many questions asking about intradiscal radiofrequency and injections, which some journals show promising results, I might make some notes on that in the future.