Physiotutors Podcast Ep. 053 | Lumbar Radicular Syndrome | Adam Dobson
Jun 3, 2023
Adam Dobson, a specialist spinal physiotherapist and author, dives into the complexities of lumbar radicular syndrome. He defines the condition and outlines crucial signs and symptoms of sciatica, emphasizing the importance of recognizing red flags. Dobson explores urgent management for cauda equina syndrome and shares insights on effective treatment strategies. He discusses differentiating conditions like piriformis syndrome and highlights individualized patient care—advocating for simple, yet effective rehabilitation approaches. Expect an engaging blend of clinical expertise and practical advice!
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Understanding Lumbar Radicular Syndrome
- Lumbar Radicular Syndrome (LRS) is an umbrella term covering radicular pain and radiculopathy with mixed symptoms and etiologies.
- Discussing LRS in terms of phenotypes rather than strict anatomy avoids confusion from asymptomatic imaging findings.
Key Signs of Lumbar Radicular Syndrome
- Look for leg pain worse than back pain, pain below the knee, and sensory changes to suspect radicular syndrome.
- Consider patient age and symptom context, distinguishing radicular pain from lumbar claudication especially in older patients.
Red Flags for Urgent Referral
- Screen all patients with leg pain for red flags like progressive motor weakness, cancer history, and signs of cauda equina syndrome.
- Urgently refer patients with profound motor weakness or foot drop to specialist care for further assessment and imaging.
