Skip to main content
SpringerLink
Log in

Lumbar and Sacral Radiculitis

  • Chapter
  • First Online:
Urogenital Pain

Abstract

Lumbosacral radiculopathy in many forms can occasionally manifest as urogenital pain. Etiologies can vary from musculoskeletal, such as disc herniation, to mechanical compression, to other atypical pathologies. A thorough history and physical examination, coupled with various imaging modalities, aid in establishing a diagnosis. Treatment is multifactorial and includes a multitude of interventional techniques, such as lumbar epidural steroid injections. Occasionally, medial branch blocks are used, and if successful radiofrequency ablation can be used as a more permanent treatment. The details of each pathology and the numerous treatments will be discussed in more detail in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Butterworth JF, Mackey DC, Wasnick JD. Morgan and Mikhail’s clinical anesthesiology. 5th ed. New York: The McGraw-Hill Companies Inc; 2013. p. 943–1076.

    Google Scholar 

  2. Gupta A, editor. Interventional pain medicine. New York: Oxford University Press; 2012. p. 5–174.

    Google Scholar 

  3. Erdmann A. Concise anatomy for anaesthesia. London: Greenwich Medical Media; 2001. p. 44.

    Google Scholar 

  4. Waldman SD. Atlas of common pain syndromes. Philadelphia: Saunders; 2012. p. 238–47.

    Book  Google Scholar 

  5. Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Stock MC, editors. Clinical anesthesia. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 1511–3.

    Google Scholar 

  6. Wouda EJ, Leenstra S, Vanneste JA. Scrotal pain as the presenting symptom of lumbar disc herniation: a report of 2 cases. Spine. 2005;30(2):E47–9.

    Article  PubMed  Google Scholar 

  7. Yukawa Y, Kato F, Kajino G, Nakamura S, Nitta H. Groin pain associated with lower lumbar disc herniation. Spine. 1997;22(15):1736–9.

    Article  CAS  PubMed  Google Scholar 

  8. Peng B, Li D, Pang X. Degenerative lumbar spondylolisthesis with testicular pain. Pain Med. 2014;15(1):169–70.

    Article  PubMed  Google Scholar 

  9. Holland JM, Feldman JL, Gilbert HC. Phantom orchialgia. J Urol. 1994;152(6 Pt 2):2291–3.

    CAS  PubMed  Google Scholar 

  10. Arbit E, Pannullo S. Lumbar stenosis: a clinical review. Clin Orthop Relat Res. 2001;384:137–43.

    Article  Google Scholar 

  11. Genevay S, Atlas SJ. Lumbar spinal stenosis. Best Pract Res Clin Rheumatol. 2010;24(2):253–65.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Cosgrove MA, Towns DK, Fanciullo GJ, Kaye AD. Interventional pain management. In: Vadivelu N et al., editors. Essentials of pain management. New York: Springer; 2010. p. 271–5.

    Google Scholar 

  13. Brummett CM, Cohen SP. Facet syndrome: facet joint injections, medial branch blocks, and radiofrequency denervation’. In: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, Hurley RW, Narouze S, Malik KM, Candido KD, editors. Essentials of pain medicine. Philadelphia: Saunders; 2011. p. 322–9.

    Chapter  Google Scholar 

  14. Yamamoto T, Fujita I, Kurosaka M, Mizuno K. Sacral radiculopathy secondary to multicentric osteosarcoma. Spine. 2001;26(15):1729–32.

    Article  CAS  PubMed  Google Scholar 

  15. Melzack R, Wall PD, editors. Handbook of pain management. Philadelphia: Elsevier; 2003. p. 295–1027.

    Google Scholar 

  16. Acosta Jr FL, Quinones-Hinojosa A, Schmidt MH, Weinstein PR. Diagnosis and management of sacral Tarlov cysts: case report and review of the literature. Neurosurg Focus. 2003;15(2):1–7.

    Article  Google Scholar 

  17. Freidenstein J, Aldrete JA, Ness T. Minimally invasive interventional therapy for Tarlov cysts causing symptoms of interstitial cystitis. Pain Physician. 2012;15(2):141–6.

    PubMed  Google Scholar 

  18. Possover M, Kostov P. Laparoscopic management of sacral nerve root schwannoma with intractable vulvococcygodynia: report of three cases and review of literature. J Minim Invasive Gynecol. 2013;20(3):394–7.

    Article  PubMed  Google Scholar 

  19. Fogel GR, Cunningham PY, Esses SI. Coccygodynia: evaluation and management. J Am Acad Orthop Surg. 2004;12(1):49–54.

    Article  PubMed  Google Scholar 

  20. Naftulin S, Fast A, Thomas M. Diabetic lumbar radiculopathy: sciatica without disc herniation. Spine. 1993;18(16):2419–22.

    Article  CAS  PubMed  Google Scholar 

  21. Helfgott SM, Picard DA, Cook JS. Herpes zoster radiculopathy. Spine. 1993;18(16):2523–4.

    Article  CAS  PubMed  Google Scholar 

  22. Waldman SD. Atlas of interventional pain management. Philadelphia: Saunders; 2015. p. 500–13.

    Google Scholar 

  23. Goodman BS, Posecion LW, Mallempati S, Bayazitoglu M. Complications and pitfalls of lumbar interlaminar and transforaminal epidural injections. Curr Rev Musculoskelet Med. 2008;1(3–4):212–22.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Fishman S, Ballantyne J, Rathmell J. Bonica’s management of pain. Philadelphia: Lippincott Williams and Wilkins; 2010.

    Google Scholar 

  25. Rabinovitch DL, Peliowski A, Furlan AD. Influence of lumbar epidural injection volume on pain relief for radicular leg pain and/or low back pain. Spine J. 2009;9(6):509–17.

    Article  PubMed  Google Scholar 

  26. Lee JH, Moon J, Lee SH. Comparison of effectiveness according to different approaches of epidural steroid injection in lumbosacral herniated disk and spinal stenosis. J Back Musculoskelet Rehabil. 2008;22(2):83–9.

    Article  Google Scholar 

  27. Stevens DS, Balkany AD. Appearance of plica mediana dorsalis during epidurography. Pain Physician. 2006;9(3):268–70.

    PubMed  Google Scholar 

  28. Rathmell JP, Benzon HT, Dreyfuss P, Huntoon M, Wallace M, Baker R, Riew KD, Rosenquist RW, Aprill C, Rost NS, Buvanendran A, Kreiner DS, Bogduk N, Fourney DR, Fraifeld E, Horn S, Stone J, Vorenkamp K, Lawler G, Summers J, Kloth D, O’Brien Jr D, Tutton S. Safeguards to prevent neurologic complications after epidural steroid injections: consensus opinions from a multidisciplinary working group and national organizations. Anesthesiology. 2015;122(5):974–84. doi:10.1097/ALN.0000000000000614.

    Article  CAS  PubMed  Google Scholar 

  29. Pope JE. Complications of radiofrequency rhizotomy for facet syndrome. In: Ranson MT, editor. Reducing risks and complications of interventional pain procedures. Philadelphia: Saunders; 2012. p. 126–31.

    Chapter  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology, Cooper University Hospital, Camden, NJ, USA

    Natalie Trautman MD

  2. Division Head Pain Management, Pain Medicine Fellowship Director, Assistant Professor of Anesthesiology, Cooper Medical School of Rowan University, Department of Anesthesiology, Division of Pain Management, Cooper University Hospital, Camden, NJ, USA

    Michael Sabia MD

Authors
  1. Natalie Trautman MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michael Sabia MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Natalie Trautman MD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Cooper Medical School of Rowan University , Camden, New Jersey, USA

    Michael Sabia

  2. Department of Anesthesiology, Cooper Medical School of Rowan University, Camden, New Jersey, USA

    Jasjit Sehdev

  3. Center for Advanced Pain Management, Hunterdon Medical Center Center for Advanced Pain Management, Flemington, New Jersey, USA

    William Bentley

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Trautman, N., Sabia, M. (2017). Lumbar and Sacral Radiculitis. In: Sabia, M., Sehdev, J., Bentley, W. (eds) Urogenital Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-45794-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-45794-9_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-45792-5

  • Online ISBN: 978-3-319-45794-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation