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Location of Disc Injury with Referred Pain Location

Exit forum ID Forum Discussion Location of Disc Injury with Referred Pain Location

This topic contains 2 replies, has 2 voices, and was last updated by   Christopher Stepien March 16, 2018 at 5:17 pm.

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  • #5195

    Christopher Stepien
    Participant

      8 years into practice and I think I’m just grasping something I should’ve learned in 5th tri. I’d like to double-check my reasoning.

      Generally,

      mid-line disc injuries will cause pain in lower nerve root patterns.
      lateral disc injuries will cause pain in higher nerve root patterns.

      It’s not possible for a lateral disc injury to cause pain in a, say, S4 or S5 distribution pattern because those nerves are more midline than any other nerves. I can’t imagine this isn’t correct, but is it?

      Therefore, if I have a patient who has been diagnosed with bilateral medial hamstring “strains” for years with MRIs that are clean, no bruising, a decent SLR, a shitty QLF, it makes sense that this would be an S2 nerve root issue, which would be a midline pathology (also confirmed by the bilateral symptoms)?

      #5197

      Carl Nottoli, DC
      Participant

        Generally speaking your two points are correct.

        However, it would not be possible to assume your scenario at the end your post without going through the specifics of the case in strict ID format.

        #5198

        Christopher Stepien
        Participant

          Understood. TY Carl.

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