Presentation
We documented whether there was a preoperative radiculopathy present and whether a radiculopathy was present postoperative. We reviewed radiographic postoperative imaging to establish a structural cause for any radiculopathy. [ncbi.nlm.nih.gov]
Atypical presentation of Lyme neuroborreliosis related meningitis and radiculitis. [pagepress.org]
Cardiovascular
- Chest Pain
This discomfort was noted not only during severe paroxysms of pain, but at times after chest pain had abated or ceased. [annals.org]
[…] in the thoracic spine, chest pain is the most common symptom. [orthogate.org]
Depending on which disc is affected, you may feel pain in the arms, chest, neck, or shoulders. Other symptoms can include numb fingers and weak muscles in the arms and chest. [bonati.com]
Musculoskeletal
- Muscle Weakness
Category: Spine Published: 09 March 2017 Last Updated: 13 March 2017 Many patients begin to feel radiculitis symptoms through a tingling sensation, numbness or muscle weakness. [orthogate.org]
If it is in the lumbar region, radicular pain includes stiffness in the legs and thighs, muscle weakness, sharp constant pain that may affect standing and sitting, and may affect balance. [spinesolutionsfl.com]
Muscle weakness or twitching in the affected area. Frequent feeling that a foot or hand has “fallen asleep.” The problems related to a pinched nerve may be worse when you’re sleeping. [restorepdx.com]
These can also lead to loss of muscle tissue and muscle weakness. The intensity of pain varies. It can be mild or severe and debilitating. In the worst situation, it may cause some form of disability. [docdoc.com.sg]
In all cases, it is accompanied by pain, often one-sided, loss of sensitivity, as well as muscle weakness or hypertension. [ivr.ua]
- Neck Pain
BACKGROUND: Chronic neck pain is a common problem in the adult population with a typical 12-month prevalence of 30% to 50%. [ncbi.nlm.nih.gov]
Mean ± SD 118.3 ± 98.6 91.9 ± 94.5 0.137 Onset of the Pain Gradual 53% (32) 52% (31) 0.855 Injury 47% (28) 48% (29) Neck Pain Distribution Neck pain only 15% (9) 17% (10) 0.975 Neck pain worse than upper extremity 57% (34) 55% (33) Upper extremity worse [medsci.org]
Assessment of neck pain and its associated disorders: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine. 2008 Feb 15. 33(4 suppl):S101-22. Anderberg L, Annertz M, Brandt L, Säveland H. [docdoc.com.sg]
Age, poor body mechanics, smoking, and genetics are all factors that contribute to neck pain. [newbridgespine.com]
- Osteophyte
Bone spurs Also called osteophytes, these are bony projections that develop along a bone’s edge and can compress nearby nerves. [sciatica.com]
Some of the more common conditions include disc herniation, bone spurs (osteophytes), and thickening of surrounding ligaments. [spinesolutionsfl.com]
[…] tingling felt in the buttock, thigh, leg and foot/toes Changes in gait or difficulty raising leg or toes Possible Causes Disc Bulges or Herniations (A tear of the outer layer of the disc) Lumbar Segmental Restriction Soft Tissue injuries Spinal Stenosis Osteophytic [portchiro.com]
Lumbar Radiculopathy Causes Lumbar radiculopathy may occur when the spinal nerve roots are irritated or compressed by one of many conditions, including lumbar disc herniation, spinal stenosis, osteophyte formation, spondylolithesis, foraminal stenosis [emoryhealthcare.org]
[…] radiculitis is sciatica – radicular pain that radiates along the sciatic nerve from the lower spine to the lower back, gluteal muscles, back of the upper thigh, calf, and foot as often secondary to nerve root irritation from a spinal disc herniation or from osteophytes [en.wikipedia.org]
Neurologic
- Peripheral Neuropathy
Radiculitis must be carefully diagnosed from peripheral neuropathies as they can often mimic each other. Clinical examination, X-rays or MRIs, Nerve Conduction Velocity testing and EMGs may be necessary in determining the origin. [portchiro.com]
Peripheral neuropathy is the damage of the peripheral nervous system, such as carpal tunnel syndrome that involves trapped nerves in the wrist. [hopkinsmedicine.org]
A well-known example of peripheral neuropathy is carpal tunnel syndrome. One spinal condition that is known to cause peripheral neuropathy is spinal stenosis. [verywellhealth.com]
Also patients with tumor, synovial cyst, other intradural or extradural lesions, and peripheral neuropathy were excluded. [ajnr.org]
- Neurologic Manifestation
Herpes simplex virus type 2 (HSV-2) can cause radiculo-myelitis as a neurological manifestation. [ncbi.nlm.nih.gov]
Herein we present a unique case of Lyme disease with neurologic manifestations including both radiculitis and meningitis due to its atypical and challenging clinical presentation and management with updated literature review. [pagepress.org]
- Dizziness
The main symptoms of radiculitis: persistent or intermittent pain in the lumbar region or in the back; movement stiffness and gait disorder; increased diaphoresis; burning or pricking sensation at the site of the pain effect; sometimes there is dizziness [doctorpro.ua]
Treatment
Other hypotheses and the consequences on treatment are discussed. [ncbi.nlm.nih.gov]
Non-Surgical Often, radiculitis treatment can be accomplished through the treatment of the condition that is causing it. [spinecentersofamerica.com]
Which Treatment is Right for You? Proper radiculitis treatment involves dealing with the underlying problem that’s causing it. [comprehensivespinepain.com]
Prognosis
Outlook (Prognosis) Most neuralgias are not life threatening and are not signs of other life-threatening disorders. However, pain can be severe. [theneurologyclinic.net]
PMID: 21102962 Prognosis Pennetti A Physiother Theory Pract 2018 Jul;34(7):559-568. Epub 2018 Jan 8 doi: 10.1080/09593985.2017.1422207. [ncbi.nlm.nih.gov]
Etiology
When conservative techniques fail, fluoroscopically guided spinal nerve injection may be valuable in determining the etiology of lower extremity pain. [ncbi.nlm.nih.gov]
April 08, 2014 ; 82 (10 Supplement) April 29, 2014 First published April 9, 2014, Abstract Introduction: Varicella Zoster Virus (VZV) is the etiologic agent of varicella (primary infection) and herpes zoster (reactivation of latent infection). [n.neurology.org]
Slipman et al 6 mentioned that a biochemical etiology in chemical radiculitis–associated anular tear is likely to play a significant role in radiculopathy and radicular pain. [ajnr.org]
Epidemiology
Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain. 1994 Apr. 117(pt 2):325-35. [docdoc.com.sg]
Designing Clinical Research: An Epidemiologic Approach 2 nd ed. Philadelphia: Lippincott, Williams & Wilkins. 2001:65-84 62. Tunis SR, Stryer DB, Clancy CM. Practical clinical trials. [medsci.org]
Pathophysiology
Pathophysiology, Examination and Physiotherapy Treatment with Neural Mobilization," PANR Journal, January 12, 2016, https://www.panr.com.cy/?p=1345. [panr.com.cy]
The studies indicated that leakage of chemical mediators or inflammatory cytokines, which are produced in the painful disc, into epidural space through annular tear could lead to injury to adjacent nerve roots, and it might constitute the primary pathophysiologic [ncbi.nlm.nih.gov]
[…] reported that leakage of chemical mediators or inflammatory cytokines, which are produced in the painful disk, into the epidural space through anular tears could lead to injury to adjacent nerve roots and that the leakage might constitute the primary pathophysiologic [ajnr.org]
Prevention
Strict control of blood sugar may prevent nerve damage in people with diabetes. In the case of shingles, there is some evidence that antiviral drugs and a herpes zoster virus vaccine can prevent neuralgia. [theneurologyclinic.net]
What Can I do to Prevent Radiculitis? To prevent radiculitis, focus on avoiding lifestyle choices that can degenerate the spine’s structure. Some examples of this include heavy lifting, poor posture and repetitive activities or motions. [orthopedicandlaserspinesurgery.com]
Prevention & Self-Care Depending on the underlying cause, specific prevention and self-care practices can help reduce the risk of further injury. [bonati.com]