Clinical observation and assumption of disease origin for sciatica.
10.3777/jjsam.38.429
- VernacularTitle:坐骨神経痛の臨床所見と原疾患の推定
- Author:
Tatsuya KOBAYASHI
;
Haruto KINOSHITA
- Publication Type:Journal Article
- From:Journal of the Japan Society of Acupuncture and Moxibustion
1988;38(4):429-436
- CountryJapan
- Language:Japanese
-
Abstract:
From the clinical point of view of the acupuncturist 105 cases of sciatica were classified according to Interview Impressions (age, sex, affected limb, degree of pain in local areas, motor pain in lumbar vertebrae); Observation Impressions (structural disorders of lumbar vertebrae); Palpation Impressions (tenderness, sensitivity disorders); Special Test Information (SLR, Bonnet Test, ATR, PTR, muscular strength disorders, etc.); and the original disease assumed.
It was possible to assume the original disease in a high percentage -68%- that is 71 of 105 cases. Spondylosis deformans occurred in patients middle aged or over and was characterized by pain upon walking, spinous process irregularities, etc., Lumbar hernia occurred in young patients and was characterized by remarkable SLR results, tenderness between the spinous processes, etc., Slipped disc was characterized by deformation of lumbar disc arrangement, ATR disturbances, palpation disturbances, etc., Spinal canal stenosis was characterized by intermittent claudication, pain relief with anterior bending of the lumbar spine, sensory disturbance in the lower limbs, etc. In piriformis muscle syndrome cases Bonnet Test results were positive, SLR light and ATR normal.
