Lumbar Radicular Pain vs. Referred Pain

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When encountering a patient with low back pain and associate neurological symptoms in the lower extremity make sure you can differentiate between lumbar radicular pain and referred pain
📚 ARTICLES: Murphy (2009) www.ncbi.nlm.n...
Vernon (2012) www.ncbi.nlm.n...
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

[@TheOrionStar]

Great video, it would have been good to mention what are the common causes of both types of pain

[@studentoflife83]

Can you please do a video on disc herniation with prognosis and treatment?

[@Thompoux]

Very informative and straight to the point. Thanks

[@Physiotutors]

Thanks a lot !

[@francoismoncel7227]

hello, i just would like to know, If radicular pain didn't follow dermatermal way, what's the goal of dermatom's? only pedagogic ? or did it misunderstand something ? or forget something else ?

[@Physiotutors]

Dermatomal assessment is still used for radiculopathy (decreased sensation) Radicular pain and radiculopathy are two different entities of nerve root involvement

[@emiliahara5000]

could you please send me a reference for the article showing not dermatomal distribution in radiculopathy as i need to show it to my tutors :)

[@Physiotutors]

Murphy et al. (2009): www.ncbi.nlm.nih.gov/pmc/articles/PMC2753622/

[@emiliahara5000]

@@Physiotutors thank you very much :)

[@achamess]

Besides patient history descriptions of the pain, can any objective physical exam signs support referred? For example, palpating at the site where pain is felt and not increasing the patient's pain?

[@wendymiller4673]

Can muscles cause referred pain? Or only the discs/facet joints?

[@Physiotutors]

It seem they can following the "Trigger point" theory and what we see in practice as well. If you want to get into a philosophical discussion, then muscles don't cause the classical referred pain as it's always from structures with a low density of nociceptive afferent innervation to structures with a high density of nociceptive afferent innervation. Muscle however, do have a high nociceptive afferent innervation in the first place...

[@anvitatelang6780]

can the same distribution of pain (pertaining to lumbar spine ) be applied to cervical radiating or referred pain ?

[@Physiotutors]

Same principles for cervical and lumbar spine

[@anvitatelang6780]

Physiotutors thank you for your quick reply

[@Soneelicious]

I think I have both 😫

[@SalvatoreEscoti]

So I have Pain under my knees but very deep pain in both my feet.

[@Physiotutors]

Would recommend to see a local physio

[@pb4travel]

Good video but I did not understand half of the science words...

[@goChina33]

Sorry it’s too deep to fully understand

[@Healingssteps]

👍👍