Radiculopathy: Difference between revisions
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=== Clinic === | === Clinic === | ||
* | * Commonly referred to as '''pinched nerve''', refers to a set of conditions in which one or more nerves are affected and do not work properly (a [[neuropathy]]). | ||
*It is a [[Peripheral Nervous system disease]] | *It is a [[Peripheral Nervous system disease]] | ||
* It can result in Radicular pain, Weakness, Paresthesia or difficulty controlling specific muscles. | * It can result in Radicular pain, Weakness, Paresthesia or difficulty controlling specific muscles. | ||
* Radicular pain that results from a radiculopathy should not be confused with referred pain, which is different both in mechanism and clinical features. | * Radicular pain that results from a radiculopathy should not be confused with referred pain, which is different both in mechanism and clinical features. | ||
{| class="wikitable" | |||
|+ | |||
! colspan="2" | | |||
=== Causes === | === Causes === | ||
! rowspan="2" |Related disease | |||
|- | |||
!Mechanical compression of a nerve root | |||
!Dynamic causes | |||
|- | |||
| | |||
*Degenerative disc disease | |||
*Osteoarthritis | |||
*Facet joint degeneration/hypertrophy | |||
*Ligamentous hypertrophy | |||
*Spondylolisthesis | |||
*Neoplastic disease | |||
*Epidural abscess | |||
*Spinal epidural hematoma | |||
*Proximal diabetic neuropathy | |||
*Tarlov cysts | |||
*Arachnoiditis | |||
*Tethered spinal cord syndrome | |||
| | |||
*[[VZV, Varicella Zoster Virus|VZV]] | |||
* [[HIV, Human immunodeficiency virus|HIV]] | |||
* [[LBB, Lyme Borreliosis Bacterium|Lyme disease]] | |||
* [[Sarcoidosis]] | |||
* Neuritis such as | * Neuritis such as | ||
**[[ | **[[Transverse myelitis]] | ||
**Sacral Radiculopathy | **Sacral Radiculopathy | ||
| | |||
* [[Sciatalgia , Sciatic|Sciatic]] | |||
* [[Discopathy]] | |||
*[[Low back pain|Low Back Pain]] | |||
* | *[[Scoliosis]] | ||
* | *[[Ankylosing Spondylitis]] | ||
* | |} | ||
{| class="wikitable" | |||
|+ | |||
!Sign / Symptoms | |||
!Types | |||
* Pain | !Entities / Miasms | ||
* Numbness / Paresthesia, | |- | ||
| | |||
*Pain | |||
* Numbness / Paresthesia, | |||
*Weakness | *Weakness | ||
* Deep [[tendon reflexes]] (Stretch reflex) may be diminished or absent | * Deep [[tendon reflexes]] (Stretch reflex) may be diminished or absent | ||
| | |||
*Cervical radiculopathy: [[Brachial plexus neuropathy]] (C6 and C7 nerves) affected most frequently. | |||
* Lumbosacral radiculopathy / [[Sciatalgia , Sciatic|Sciatica]] | |||
* Cauda equina syndrome should be investigated in case of saddle anesthesia, loss of bladder or bowel control, or leg weakness. | |||
* Cervical radiculopathy: [[Brachial plexus neuropathy]] (C6 and C7 nerves) affected most frequently. | |||
* Lumbosacral radiculopathy / [[Sciatalgia , Sciatic | |||
* Cauda equina syndrome should be investigated in case of saddle anesthesia, loss of bladder or bowel control, or leg weakness. | |||
* ''Polyradiculopathy'' refers to the condition where more than one spinal nerve root is affected. | * ''Polyradiculopathy'' refers to the condition where more than one spinal nerve root is affected. | ||
| | |||
*General, Polyneuritis: [[CMV, Cytomegalovirus|CMV]] | |||
* Polyradiculitis: ORBV | |||
* Ascending Polyradiculitis: [[MMP, Mumps|MMP]] | |||
* Back, Radiculopathy, Sacral: [[HSV-1, Herpes Simplex Virus|HSV-1]], [[HSV-2, Herpes Simplex Virus|HSV-2]] | |||
*Ext, Neuritis, Brachial: [[CMV, Cytomegalovirus|CMV]], [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|CXA]], [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|CXB]], [[EBV, Epstein Barr Virus|EBV]], [[B19, Parvovirus B19|B19]], [[COV-19, Corona virus 19|COV-19]], [[VZV, Varicella Zoster Virus|VZV]], [[WNE, West Nile Encephalitis|WNE]] | |||
*Reflexes, Hypo reflexia: [[WEE, Eastern & Western Equine Encephalitis|EEE]]/ [[WEE, Eastern & Western Equine Encephalitis|WEE]], [[GSS, Gerstmann Straussler Scheinker syndrome|GSS]], HCV, [[HSV-1, Herpes Simplex Virus|HSV-1]], [[PLV, Polio Virus|PLV]], [[SAHF, South American Hemorrhagic Fever|SAHF]] | |||
|} | |||
=== Note === | === Note === | ||
Here we have a big conflict, that should be explained more. Radiculopathy would be a post-node according to TLT theory since it is caused by mechanical pressure of a tumor or an abscess on nerve roots. Although we do not find a mechanical pressure in a significant number of patients. Also we find psychological modalities in common radiculopathic cases known as Sciatica, which means dynamic inflammation. That's why I prefer to divide Sciatica into Dynamic and Static cases. Static cases mostly need Agar, Arn and Hyper, depending on the form of their pain. In Dynamic cases I search for dynamic inflammation which have the above mentioned entities, which suggest [[HSV-1, Herpes Simplex Virus|HSV-1]] | Here we have a big conflict, that should be explained more. Radiculopathy would be a post-node according to TLT theory since it is caused by mechanical pressure of a tumor or an abscess on nerve roots. Although we do not find a mechanical pressure in a significant number of patients. Also we find psychological modalities in common radiculopathic cases known as Sciatica, which means dynamic inflammation. That's why I prefer to divide Sciatica into Dynamic and Static cases. Static cases mostly need Agar, Arn and Hyper, depending on the form of their pain. In Dynamic cases I search for dynamic inflammation which have the above mentioned entities, which suggest [[HSV-1, Herpes Simplex Virus|HSV-1]] | ||
== Remedies == | |||
{| class="wikitable" | |||
|+ | |||
! | |||
! | |||
! | |||
|- | |||
|<big>'''Cervical radiculopathy:'''</big> | |||
<big>'''Numbness in Arms, Hands'''</big> | |||
| | |||
=== [[Par, Paris Quadrifolia|Par]] === | |||
| | |||
* Numbness in upper limbs (Hands and Fingers | |||
* Pain and a feeling of weight is experienced in the neck. | |||
* The pain may extend from the neck down to the shoulders. | |||
|- | |||
|'''<big>Cervical radiculopathy:</big>''' | |||
'''<big>Pricking, Numbness, Weakness in Arms</big>''' | |||
| | |||
=== [[Kalm, Kalmia Latifolia|Kalm]] === | |||
| | |||
* Pricking, numbness, and weakness in the upper limbs. | |||
* Tingling sensation in the upper limbs as well. | |||
* Pain from neck extending down to the shoulder blades or down the arms | |||
* Sharp and shooting pain | |||
|- | |||
| rowspan="2" |'''<big>Radiculopathy due to Spinal Injury</big>''' | |||
| | |||
=== [[Hyper, Hypericum Perforatum|Hyper]] === | |||
| | |||
* Tingling, burning and numbness in the limbs following trauma to the spine. | |||
|- | |||
| | |||
=== [[Rhus-t, Rhus toxicodendron|Rhus-t]] === | |||
| | |||
* Localized pain in the neck or lower back from radiculopathy that follows trauma or injury to the spine. | |||
|- | |||
|<big>'''Sciatica due to Lumbar Radiculopathy'''</big> | |||
| | |||
=== [[Coloc, Colocynthis|Coloc]] === | |||
| | |||
* When sciatica is the major complaint of lumbar radiculopathy | |||
* Pain from the lower back radiates down the hip to the legs | |||
* Pain may be drawing, tearing or cramping | |||
* Radiculopathy involving the lumbar region of the spine. | |||
|- | |||
|'''<big>Radiculopathy + Sciatica + Numbness in Lower Limbs</big>''' | |||
| | |||
=== [[Gnaph, Gnaphalium Polycephalum|Gnaph]] === | |||
| | |||
* Numbness in lower limbs accompanied by or alternate with sciatica pain. (Maybe) | |||
* Pain and numbness in the lower back (Maybe) | |||
* Lying on the back may bring some relief in back pain. | |||
|} |
Latest revision as of 00:29, 25 January 2024
Clinic
- Commonly referred to as pinched nerve, refers to a set of conditions in which one or more nerves are affected and do not work properly (a neuropathy).
- It is a Peripheral Nervous system disease
- It can result in Radicular pain, Weakness, Paresthesia or difficulty controlling specific muscles.
- Radicular pain that results from a radiculopathy should not be confused with referred pain, which is different both in mechanism and clinical features.
Causes |
Related disease | |
---|---|---|
Mechanical compression of a nerve root | Dynamic causes | |
|
|
Sign / Symptoms | Types | Entities / Miasms |
---|---|---|
|
|
Note
Here we have a big conflict, that should be explained more. Radiculopathy would be a post-node according to TLT theory since it is caused by mechanical pressure of a tumor or an abscess on nerve roots. Although we do not find a mechanical pressure in a significant number of patients. Also we find psychological modalities in common radiculopathic cases known as Sciatica, which means dynamic inflammation. That's why I prefer to divide Sciatica into Dynamic and Static cases. Static cases mostly need Agar, Arn and Hyper, depending on the form of their pain. In Dynamic cases I search for dynamic inflammation which have the above mentioned entities, which suggest HSV-1
Remedies
Cervical radiculopathy:
Numbness in Arms, Hands |
Par |
|
Cervical radiculopathy:
Pricking, Numbness, Weakness in Arms |
Kalm |
|
Radiculopathy due to Spinal Injury |
Hyper |
|
Rhus-t |
| |
Sciatica due to Lumbar Radiculopathy |
Coloc |
|
Radiculopathy + Sciatica + Numbness in Lower Limbs |
Gnaph |
|