There have been many recent advances in the clinical and basic sciences concerring the cause and cure of back pain and sciatica.
Pain drawings has improved our diagnostic acumen and clinical evaluation in same speed of modern diagnositic equipment such as magnetic resonance imaging(MRI). Adequate pain drawings obtained from 100 patients who was treated for a low back
disorder
from October 1993 to September 1994.
An initial diagnostic impression was made at a glance over the pain drawing into five diagnostic group and the results were compared with the final diagnosis after treatment with magnetic resonance image(MRI).
One helpful strategy in diagnosing cause of back and leg pain syndrome is to assign patients to one of five diagnostic groups. These are (1) benign etiologies (2) radicalopathy from herniated disk(3) radicalopathy secondary to spinal stenosis (4)
serious underlying disorders and (5) behavioral disorders.
The inital impressions were 7 benign back pains, 55disc herniation, 20 spinal stenosis, 15 significant underlying disorder and 3 psycogenic back pain. The final diagnosis were 61 disc herniation, 17 spinal stenosis, 12 underlying disease 7
degenertative
disease, 3 psychogenic disorder.
Concerning the disc herniation, spinal stenosis, psychogenic disorder there were significant relationship between the initial impression and the final diagnosis. Pain drawins afford an important clue to disc herniation, psycogenic disorder in the
assessment of back pain.
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