Post-Injection Sciatic Nerve Palsy in a patient with PIVD
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Prolapsed intervertebral disc (PIVD) commonly presents as lower back ache associated with features of radiculopathy. We present an unusual case of a patient presenting with foot drop and our diagnostic and therapeutic protocol for the same. Our patient was a 40 year old female who was diagnosed as a case of PIVD L4-L5 and was advised for non operative treatment. During her treatment, the patient received intramuscular analgesic therapy immediately following which the patient reported a foot drop in the le lower limb. While the patient was initially thought to present with an acute neurological worsening of the affected disk requiring urgent decompression. However post injection nerve palsy was kept as one of the differential. e diagnosis of post injection palsy was conrmed by obtaining an NCV study and MRI neurography. She was subsequently managed conservatively via a foot drop splint, oral analgesic therapy and neurotropic agents. On follow up at 6 months she had complete neurological recovery. Post injection palsy can mimic as further prolapse of disc in a case of PIVD. It is imperative to differentiate these two as the management follows different course, the differentiation can be done using MR neurography.
Authors and Affiliations
Deepankar Verma, Anil K Jain, Anuragini Gupta, Himanshu Bhayana
Keywords
Related Articles
- EP ID EP561726
- DOI -
- Views 92
- Downloads 0
Local Infiltration of Platelet-Rich Plasma – A New Modality for Treating Lateral Epicondylitis
Introduction: In routine practice tennis elbow or lateral epicondylitis is commonly encountered enthesopathy, which hampers the activity of daily life and it not only effects sports personnel but in our society major chu...
Indexing of Journal of Bone and Joint Diseases
Dear Colleagues, Indexing of a journal is of prime importance since the recognition by the medical council of India depends on publication in an Indexed journal. The Journal of Bone and Joint Diseases is one of the oldes...
Role of Locked Compression Plate in Osteoporotic Humeral Shaft Nonunions: A Clinical Study
Background: Osteoporotic humeral shaft nonunion is a challenge to modern implant design because of inadequate screw purchase in the bone. Locked compression plating (LCP) is the answer to this difficult condition. In thi...
Doctor-Patient relationship
Medical profession, once considered as the highest form of service to humanity is about to reach the deepest trench now a days. It is high time to consider what factors caused it to be labeled as highest form of inhuman...
Short Segment Posterior Pedicle Instrumentation for Traumatic Thoracic and Lumbar Fractures: Is Bone Grafting Really Needed?
Background: The use of bone grafting in treatment of thoracic and lumbar trauma continues to be one of the controversial areas in the trauma care. The purpose of this study is to find out the outcome of pedicle instrumen...