Sciatica
Intervertebral Disc Displacement
Radiculopathy
Piriformis Muscle Syndrome
Injections, Epidural
Diskectomy
Lumbar Vertebrae
Chymopapain
Low Back Pain
Spinal Nerve Roots
Nerve Compression Syndromes
Intervertebral Disc Chemolysis
Lumbosacral Plexus
Intervertebral Disc
Pain Measurement
Polyradiculopathy
Fibrocartilage
Cauda Equina
Peripheral Nervous System Neoplasms
Encyclopedias as Topic
Extradural inflammation associated with annular tears: demonstration with gadolinium-enhanced lumbar spine MRI. (1/283)
Annular tears are manifest on MRI as the high-intensity zone (HIZ) or as annular enhancement. Patients with annular tears may experience low back pain with radiation into the lower limb in the absence of nerve root compression. Inflammation of nerve roots from leak of degenerative nuclear material through full-thickness annular tears is a proposed mechanism for such leg pain. The aim of this study is to illustrate the appearance of extradural enhancement adjacent to annular tears in patients being investigated for low back pain with radiation into the lower limb(s). Sagittal T1- and T2-weighted spin echo and axial T1-weighted spin echo sequences were obtained in eight patients being investigated for low back and leg pain. In all patients, the T1-weighted sequences were repeated following intravenous gadopentetate dimeglumine (Gd-DTPA). Annular tears were identified at 12 sites in eight patients. Extradural inflammation appeared as a region of intermediate signal intensity replacing the fat between the posterior disc margin and the theca, which enhanced following Gd-DTPA. The inflammatory change was always associated with an annular tear, and in four cases directly involved the nerve root. Enhancement of the nerve root was seen in two cases. The findings may be relevant in the diagnosis of chemical radiculopathy secondary to inflammation at the site of an annular leak from a degenerating disc. (+info)The assessment of appropriate indications for laminectomy. (2/283)
We have developed criteria to determine the appropriate indications for lumbar laminectomy, using the standard procedure developed at the RAND corporation and the University of California at Los Angeles (RAND-UCLA). A panel of five surgeons and four physicians individually assessed 1000 hypothetical cases of sciatica, back pain only, symptoms of spinal stenosis, spondylolisthesis, miscellaneous indications or the need for repeat laminectomy. For the first round each member of the panel used a scale ranging from 1 (extremely inappropriate) to 9 (extremely appropriate). After discussion and condensation of the results into three categories laminectomy was considered appropriate in 11% of the 1000 theoretical scenarios, equivocal in 26% and inappropriate in 63%. There was some variation between the six categories of malalignment, but full agreement in 64% of the hypothetical cases. We applied these criteria retrospectively to the records of 196 patients who had had surgical treatment for herniated discs in one Swiss University hospital. We found that 48% of the operations were for appropriate indications, 29% for equivocal reasons and that 23% were inappropriate. The RAND-UCLA method is a feasible, useful and coherent approach to the study of the indications for laminectomy and related procedures, providing a number of important insights. Our conclusions now require validation by carefully designed prospective clinical trials, such as those which are used for new medical techniques. (+info)Diagnosis of intermittent vascular claudication in a patient with a diagnosis of sciatica. (3/283)
BACKGROUND AND PURPOSE: The purpose of this case report is to illustrate the importance of medical screening to rule out medical problems that may mimic musculoskeletal symptoms. CASE DESCRIPTION: This case report describes a woman who was referred with a diagnosis of sciatica but who had signs and symptoms consistent with vascular stenosis. The patient complained of bilateral lower-extremity weakness with her pain intensity at a minimal level in the region of the left sacroiliac joint and left buttock. She also reported numbness in her left leg after walking, sensations of cold and then heat during walking, and cramps in her right calf muscle. She did not report any leg pain. A medical screening questionnaire revealed an extensive family history of heart disease. Examination of the lumbar spine and nervous system was negative. A diminished dorsalis pedis pulse was noted on the left side. Stationary cycling in lumbar flexion reproduced the patient's complaints of lower-extremity weakness and temporarily abolished her dorsalis pedis pulse on the left side. OUTCOMES: She was referred back to her physician with a request to rule out vascular disease. The patient was subsequently diagnosed, by a vascular specialist, with a "high-grade circumferential stenosis of the distal-most aorta at its bifurcation." DISCUSSION: This case report points out the importance of a thorough history, a medical screening questionnaire, and a comprehensive examination during the evaluation process to rule out medical problems that might mimic musculoskeletal symptoms. (+info)An allele of COL9A2 associated with intervertebral disc disease. (4/283)
Intervertebral disc disease is one of the most common musculoskeletal disorders. A number of environmental and anthropometric risk factors may contribute to it, and recent reports have suggested the importance of genetic factors as well. The COL9A2 gene, which codes for one of the polypeptide chains of collagen IX that is expressed in the intervertebral disc, was screened for sequence variations in individuals with intervertebral disc disease. The analysis identified a putative disease-causing sequence variation that converted a codon for glutamine to one for tryptophan in six out of the 157 individuals but in none of 174 controls. The tryptophan allele cosegregated with the disease phenotype in the four families studied, giving a lod score (logarithm of odds ratio) for linkage of 4.5, and subsequent linkage disequilibrium analysis conditional on linkage gave an additional lod score of 7.1. (+info)Conflicting conclusions from two systematic reviews of epidural steroid injections for sciatica: which evidence should general practitioners heed? (5/283)
Systematic reviews and meta-analyses are becoming increasingly important in informing clinical practice and commissioning. Two systematic reviews of a treatment for low back pain and sciatica using epidural steroid injections, published in the same year, arrived at conflicting conclusions. Only one was reported in a digest for evidence-based medicine. This paper aims to find the reasons for the discordance between the reviews, and draw conclusions for users of reviews. Using comparative analysis of two published systematic reviews and their source material, it was found that the two reviews had the same overall aims and met the criteria for review methods. They differed in their choice of methods, including the judgement of quality of studies for inclusion and for summing-up evidence. Estimation of summary odds ratios in one review led to stronger conclusions about effectiveness. In conclusion, the choice of methods for systematic review may alter views about the current state of evidence. Users should be aware that systematic reviews include an element of judgement, whatever method is used. (+info)The relation between expectations and outcomes in surgery for sciatica. (6/283)
OBJECTIVE: To describe the expectations that patients and their physicians have for outcomes after surgical treatment for sciatica and to examine the associations between expectations and outcomes. DESIGN: Prospective cohort study. SETTING/PATIENTS: We recruited 273 patients, from the offices of orthopedic surgeons, neurosurgeons, and occupational medicine physicians in Maine, who had diskectomy for sciatica. MEASUREMENTS AND MAIN RESULTS: Patients' and physicians' expectations were measured before surgery. Satisfaction with care and changes in symptoms and functional status were measured 12 months after surgery. More patients who expected a shorter recovery tJgie after surgery were "delighted," "pleased," or "mostly satisfied" with their outcomes 12 months after surgery than patients who expected a longer recovery tJgie (odds ratio [OR] 2.2; 95% confidence interval [CI] 1.1, 4.4). Also, more patients who preferred surgery after learning that sciatica could get better without surgery had good symptom scores 12 months after surgery than patients who did not prefer surgery (OR 2.9; 95% CI 1.2, 7.0). When physicians predicted a "great deal of Jgiprovement" after surgery, 39% of patients were not satisfied with their outcomes and 25% said their symptoms had not Jgiproved. CONCLUSIONS: More patients with favorable expectations about surgery had good outcomes than patients with unfavorable expectations. Physicians' expectations were overly optJgiistic. Patient expectations appear to be Jgiportant predictors of outcomes, and eliciting them may help physicians identify patients more likely to benefit from diskectomy for sciatica. (+info)Recurrent pain after lumbar discectomy: the diagnostic value of peridural scar on MRI. (7/283)
The association between peridural scarring and recurrent pain after lumbar discectomy is much debated. A recently published study found that patients with extensive peridural fibrosis were 3.2 times more likely to experience recurrent radicular pain than those with less extensive scarring. This finding may lead to an overestimation of peridural fibrosis in clinical practice. In a retrospective study we analyzed the records of 53 patients who underwent a lumbar MRI because of recurrent pain after first unilateral microdiscectomy. Patients were classified as those with radicular or non-radicular pain according to history and clinical findings. The diagnosis was confirmed by spinal anesthetic block. The extension of scarring was compared between the two groups of patients. The amount of epidural fibrosis was examined on contrast-enhanced MRI in axial slices subdivided into four quadrants. The amount of fibrosis was divided into four stages in each affected quadrant. We found no differences regarding the amount of peridural fibrosis between patients with radicular pain and patients with non-radicular pain. We conclude that the extent of peridural scarring as defined by MRI is of minor value in the differential diagnosis of recurrent back and leg pain after lumbar microdiscectomy. (+info)Single-blind randomised controlled trial of chemonucleolysis and manipulation in the treatment of symptomatic lumbar disc herniation. (8/283)
This single-blind randomised clinical trial compared osteopathic manipulative treatment with chemonucleolysis (used as a control of known efficacy) for symptomatic lumbar disc herniation. Forty patients with sciatica due to this diagnosis (confirmed by imaging) were treated either by chemonucleolysis or manipulation. Outcomes (leg pain, back pain and self-reported disability) were measured at 2 weeks, 6 weeks and 12 months. The mean values for all outcomes improved in both groups. By 12 months, there was no statistically significant difference in outcome between the treatments, but manipulation produced a statistically significant greater improvement for back pain and disability in the first few weeks. A similar number from both groups required additional orthopaedic intervention; there were no serious complications. Crude cost analysis suggested an overall financial advantage from manipulation. Because osteopathic manipulation produced a 12-month outcome that was equivalent to chemonucleolysis, it can be considered as an option for the treatment of symptomatic lumbar disc herniation, at least in the absence of clear indications for surgery. Further study into the value of manipulation at a more acute stage is warranted. (+info)Sciatica is not a medical condition itself but rather a symptom of an underlying medical problem. It's typically described as pain that radiates along the sciatic nerve, which runs from your lower back through your hips and buttocks and down each leg.
The pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. Sometimes, the pain is severe enough to make moving difficult. Sciatica most commonly occurs when a herniated disk, bone spur on the spine, or narrowing of the spine (spinal stenosis) compresses part of the nerve.
While sciatica can be quite painful, it's not typically a sign of permanent nerve damage and can often be relieved with non-surgical treatments. However, if the pain is severe or persists for a long period, it's essential to seek medical attention as it could indicate a more serious underlying condition.
Intervertebral disc displacement, also known as a slipped disc or herniated disc, is a medical condition where the inner, softer material (nucleus pulposus) of the intervertebral disc bulges or ruptures through its outer, tougher ring (annulus fibrosus). This can put pressure on nearby nerves and cause pain, numbness, tingling, or weakness in the affected area, often in the lower back or neck. The displacement may also lead to inflammation and irritation of the surrounding spinal structures, further exacerbating the symptoms. The condition is typically caused by age-related wear and tear (degenerative disc disease) or sudden trauma.
Radiculopathy is a medical term that refers to the condition where there is damage or disturbance in the nerve roots as they exit the spinal column. These nerve roots, also known as radicles, can become damaged due to various reasons such as compression, inflammation, or injury, leading to a range of symptoms.
Radiculopathy may occur in any part of the spine, but it is most commonly found in the cervical (neck) and lumbar (lower back) regions. When the nerve roots in the cervical region are affected, it can result in symptoms such as neck pain, shoulder pain, arm pain, numbness, tingling, or weakness in the arms or fingers. On the other hand, when the nerve roots in the lumbar region are affected, it can cause lower back pain, leg pain, numbness, tingling, or weakness in the legs or feet.
The symptoms of radiculopathy can vary depending on the severity and location of the damage to the nerve roots. In some cases, the condition may resolve on its own with rest and conservative treatment. However, in more severe cases, medical intervention such as physical therapy, medication, or surgery may be necessary to alleviate the symptoms and prevent further damage.
Piriformis Muscle Syndrome (PMS) is not explicitly defined in formal medical textbooks or peer-reviewed articles. However, it is generally described as a condition characterized by the entrapment or compression of the sciatic nerve by the piriformis muscle, leading to symptoms similar to those seen in sciatica. The piriformis muscle is a flat, band-like muscle located in the buttock region, deep to the gluteus maximus. It plays a crucial role in rotating the hip and stabilizing the pelvis during walking and running.
The symptoms of PMS may include:
1. Pain, numbness, or tingling in the buttocks, often radiating down the back of the thigh and leg (similar to sciatica)
2. Worsening pain with sitting, climbing stairs, or performing other activities that involve hip flexion and rotation
3. Reduced range of motion in the hip joint
4. Tenderness when pressing on the piriformis muscle
It is essential to consult a healthcare professional for an accurate diagnosis, as PMS can sometimes be confused with other conditions such as herniated discs or spinal stenosis. Proper diagnosis and appropriate treatment are necessary to alleviate symptoms and prevent potential complications.
Epidural injection is a medical procedure where a medication is injected into the epidural space of the spine. The epidural space is the area between the outer covering of the spinal cord (dura mater) and the vertebral column. This procedure is typically used to provide analgesia (pain relief) or anesthesia for surgical procedures, labor and delivery, or chronic pain management.
The injection usually contains a local anesthetic and/or a steroid medication, which can help reduce inflammation and swelling in the affected area. The medication is delivered through a thin needle that is inserted into the epidural space using the guidance of fluoroscopy or computed tomography (CT) scans.
Epidural injections are commonly used to treat various types of pain, including lower back pain, leg pain (sciatica), and neck pain. They can also be used to diagnose the source of pain by injecting a local anesthetic to numb the area and determine if it is the cause of the pain.
While epidural injections are generally safe, they do carry some risks, such as infection, bleeding, nerve damage, or allergic reactions to the medication. It's important to discuss these risks with your healthcare provider before undergoing the procedure.
Diskectomy is a surgical procedure in which all or part of an intervertebral disc (the cushion between two vertebrae) is removed. This procedure is typically performed to alleviate pressure on nerve roots or the spinal cord caused by a herniated or degenerative disc. In a diskectomy, the surgeon accesses the damaged disc through an incision in the back or neck and removes the portion of the disc that is causing the compression. This can help to relieve pain, numbness, tingling, or weakness in the affected limb. Diskectomy may be performed as an open surgery or using minimally invasive techniques, depending on the individual case.
The lumbar vertebrae are the five largest and strongest vertebrae in the human spine, located in the lower back region. They are responsible for bearing most of the body's weight and providing stability during movement. The lumbar vertebrae have a characteristic shape, with a large body in the front, which serves as the main weight-bearing structure, and a bony ring in the back, formed by the pedicles, laminae, and processes. This ring encloses and protects the spinal cord and nerves. The lumbar vertebrae are numbered L1 to L5, starting from the uppermost one. They allow for flexion, extension, lateral bending, and rotation movements of the trunk.
Chymopapain is a proteolytic enzyme that is derived from the papaya fruit (Carica papaya). It is specifically obtained from the latex of unripe papayas. Chymopapain is used in medical treatments, particularly as an enzyme therapy for disc herniation in the spine, which can cause pain, numbness, or weakness due to pressure on nearby nerves.
The procedure, called chemonucleolysis, involves injecting chymopapain directly into the damaged intervertebral disc. The enzyme breaks down and dissolves part of the proteoglycan matrix in the nucleus pulposus (the inner, gel-like portion of the intervertebral disc), reducing its size and relieving pressure on the affected nerves. This can help alleviate pain and improve function in some patients with herniated discs.
However, the use of chymopapain for disc herniation has declined over time due to the development of other treatment options, such as minimally invasive surgical techniques, and concerns about potential side effects and allergic reactions associated with its use. It is essential to consult a healthcare professional for appropriate evaluation and management of spinal conditions.
Low back pain is a common musculoskeletal disorder characterized by discomfort or pain in the lower part of the back, typically between the costal margin (bottom of the ribcage) and the gluteal folds (buttocks). It can be caused by several factors including strain or sprain of the muscles or ligaments, disc herniation, spinal stenosis, osteoarthritis, or other degenerative conditions affecting the spine. The pain can range from a dull ache to a sharp stabbing sensation and may be accompanied by stiffness, limited mobility, and radiating pain down the legs in some cases. Low back pain is often described as acute (lasting less than 6 weeks), subacute (lasting between 6-12 weeks), or chronic (lasting more than 12 weeks).
Spinal nerve roots are the initial parts of spinal nerves that emerge from the spinal cord through the intervertebral foramen, which are small openings between each vertebra in the spine. These nerve roots carry motor, sensory, and autonomic fibers to and from specific regions of the body. There are 31 pairs of spinal nerve roots in total, with 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal pair. Each root has a dorsal (posterior) and ventral (anterior) ramus that branch off to form the peripheral nervous system. Irritation or compression of these nerve roots can result in pain, numbness, weakness, or loss of reflexes in the affected area.
Nerve compression syndromes refer to a group of conditions characterized by the pressure or irritation of a peripheral nerve, causing various symptoms such as pain, numbness, tingling, and weakness in the affected area. This compression can occur due to several reasons, including injury, repetitive motion, bone spurs, tumors, or swelling. Common examples of nerve compression syndromes include carpal tunnel syndrome, cubital tunnel syndrome, radial nerve compression, and ulnar nerve entrapment at the wrist or elbow. Treatment options may include physical therapy, splinting, medications, injections, or surgery, depending on the severity and underlying cause of the condition.
I am unable to find a medical definition for "Intervertebral Disc Chemolysis" as it is not a widely recognized or established term in the field of medicine. The term "chemolysis" refers to the breakdown of chemical compounds by chemical means, and "intervertebral disc" refers to the cushion-like structure found between the vertebrae in the spine.
However, I can tell you that there is a medical procedure called "chemonucleolysis," which involves the use of enzymes or chemicals to break down the nucleus pulposus (the inner, gel-like material) of an intervertebral disc in order to reduce the pressure on surrounding nerves and relieve pain.
Therefore, it is possible that "Intervertebral Disc Chemolysis" may refer to a similar process, but I cannot confirm this without further context or information.
The lumbosacral plexus is a complex network of nerves that arises from the lower part of the spinal cord, specifically the lumbar (L1-L5) and sacral (S1-S4) roots. This plexus is responsible for providing innervation to the lower extremities, including the legs, feet, and some parts of the abdomen and pelvis.
The lumbosacral plexus can be divided into several major branches:
1. The femoral nerve: It arises from the L2-L4 roots and supplies motor innervation to the muscles in the anterior compartment of the thigh, as well as sensation to the anterior and medial aspects of the leg and thigh.
2. The obturator nerve: It originates from the L2-L4 roots and provides motor innervation to the adductor muscles of the thigh and sensation to the inner aspect of the thigh.
3. The sciatic nerve: This is the largest nerve in the body, formed by the union of the tibial and common fibular (peroneal) nerves. It arises from the L4-S3 roots and supplies motor innervation to the muscles of the lower leg and foot, as well as sensation to the posterior aspect of the leg and foot.
4. The pudendal nerve: It originates from the S2-S4 roots and is responsible for providing motor innervation to the pelvic floor muscles and sensory innervation to the genital region.
5. Other smaller nerves, such as the ilioinguinal, iliohypogastric, and genitofemoral nerves, also arise from the lumbosacral plexus and supply sensation to various regions in the lower abdomen and pelvis.
Damage or injury to the lumbosacral plexus can result in significant neurological deficits, including muscle weakness, numbness, and pain in the lower extremities.
An intervertebral disc is a fibrocartilaginous structure found between the vertebrae of the spinal column in humans and other animals. It functions as a shock absorber, distributes mechanical stress during weight-bearing activities, and allows for varying degrees of mobility between adjacent vertebrae.
The disc is composed of two parts: the annulus fibrosus, which forms the tough, outer layer; and the nucleus pulposus, which is a gel-like substance in the center that contains proteoglycans and water. The combination of these components provides the disc with its unique ability to distribute forces and allow for movement.
The intervertebral discs are essential for the normal functioning of the spine, providing stability, flexibility, and protection to the spinal cord and nerves. However, they can also be subject to degeneration and injury, which may result in conditions such as herniated discs or degenerative disc disease.
Pain measurement, in a medical context, refers to the quantification or evaluation of the intensity and/or unpleasantness of a patient's subjective pain experience. This is typically accomplished through the use of standardized self-report measures such as numerical rating scales (NRS), visual analog scales (VAS), or categorical scales (mild, moderate, severe). In some cases, physiological measures like heart rate, blood pressure, and facial expressions may also be used to supplement self-reported pain ratings. The goal of pain measurement is to help healthcare providers better understand the nature and severity of a patient's pain in order to develop an effective treatment plan.
Polyradiculopathy is a medical term that refers to a condition affecting multiple nerve roots. It's a type of neurological disorder where there is damage or injury to the nerve roots, which are the beginning portions of nerves as they exit the spinal cord. This damage can result in various symptoms such as weakness, numbness, tingling, and pain in the affected areas of the body, depending on the specific nerves involved.
Polyradiculopathy can be caused by a variety of factors, including trauma, infection, inflammation, compression, or degenerative changes in the spine. Some common causes include spinal cord tumors, herniated discs, spinal stenosis, and autoimmune disorders such as Guillain-Barre syndrome.
Diagnosing polyradiculopathy typically involves a thorough neurological examination, imaging studies such as MRI or CT scans, and sometimes nerve conduction studies or electromyography (EMG) to assess the function of the affected nerves. Treatment for polyradiculopathy depends on the underlying cause but may include medications, physical therapy, surgery, or a combination of these approaches.
Fibrocartilage is a type of tough, dense connective tissue that contains both collagen fibers and cartilaginous matrix. It is composed of fibroblasts embedded in a extracellular matrix rich in collagen types I and II, proteoglycans and elastin. Fibrocartilage is found in areas of the body where strong, flexible support is required, such as intervertebral discs, menisci (knee cartilage), labrum (shoulder and hip cartilage) and pubic symphysis. It has both the elasticity and flexibility of cartilage and the strength and durability of fibrous tissue. Fibrocartilage can withstand high compressive loads and provides cushioning, shock absorption and stability to the joints and spine.
The Cauda Equina refers to a bundle of nerves at the lower end of the spinal cord within the vertebral column. It originates from the lumbar (L1-L5) and sacral (S1-S5) regions and looks like a horse's tail, hence the name "Cauda Equina" in Latin. These nerves are responsible for providing motor and sensory innervation to the lower extremities, bladder, bowel, and sexual organs. Any damage or compression to this region can lead to serious neurological deficits, such as bowel and bladder incontinence, sexual dysfunction, and lower limb weakness or paralysis.
The spinal canal is the bony, protective channel within the vertebral column that contains and houses the spinal cord. It extends from the foramen magnum at the base of the skull to the sacrum, where the spinal cord ends and forms the cauda equina. The spinal canal is formed by a series of vertebral bodies stacked on top of each other, intervertebral discs in between them, and the laminae and spinous processes that form the posterior elements of the vertebrae. The spinal canal provides protection to the spinal cord from external trauma and contains cerebrospinal fluid (CSF) that circulates around the cord, providing nutrients and cushioning. Any narrowing or compression of the spinal canal, known as spinal stenosis, can cause various neurological symptoms due to pressure on the spinal cord or nerve roots.
Peripheral nervous system (PNS) neoplasms refer to tumors that originate in the peripheral nerves, which are the nerves outside the brain and spinal cord. These tumors can be benign or malignant (cancerous). Benign tumors, such as schwannomas and neurofibromas, grow slowly and do not spread to other parts of the body. Malignant tumors, such as malignant peripheral nerve sheath tumors (MPNSTs), can invade nearby tissues and may metastasize (spread) to other organs.
PNS neoplasms can cause various symptoms depending on their location and size. Common symptoms include pain, weakness, numbness, or tingling in the affected area. In some cases, PNS neoplasms may not cause any symptoms until they become quite large. Treatment options for PNS neoplasms depend on several factors, including the type, size, and location of the tumor, as well as the patient's overall health. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
Spondylolisthesis is a medical condition that affects the spine, specifically the vertebrae in the lower back (lumbar region). It occurs when one vertebra slips forward and onto the vertebra below it. This slippage can lead to narrowing of the spinal canal and compression of the nerves exiting the spine, causing pain and discomfort. The condition can be congenital, degenerative, or result from trauma or injury. Symptoms may include lower back pain, stiffness, and radiating pain down the legs. Treatment options range from physical therapy and pain management to surgical intervention in severe cases.
Pelvic neoplasms refer to abnormal growths or tumors located in the pelvic region. These growths can be benign (non-cancerous) or malignant (cancerous). They can originate from various tissues within the pelvis, including the reproductive organs (such as ovaries, uterus, cervix, vagina, and vulva in women; and prostate, testicles, and penis in men), the urinary system (kidneys, ureters, bladder, and urethra), the gastrointestinal tract (colon, rectum, and anus), as well as the muscles, nerves, blood vessels, and other connective tissues.
Malignant pelvic neoplasms can invade surrounding tissues and spread to distant parts of the body (metastasize). The symptoms of pelvic neoplasms may vary depending on their location, size, and type but often include abdominal or pelvic pain, bloating, changes in bowel or bladder habits, unusual vaginal bleeding or discharge, and unintentional weight loss. Early detection and prompt treatment are crucial for improving the prognosis of malignant pelvic neoplasms.