Musculoskeletal Diseases
Conditions
Interventions
Clinician guided management
Self Management Technique
Sponsors
Maryam Abdulhadi
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Participants are those with complaint of pain and/or paresthesia in the lumbar spine with a distribution of symptoms that has extended distal to the gluteal fold on at least one lower extremity within the past 24 hours based on the patient's self-report. Age at least 18 to 65 years. At least one of the following signs of nerve root compression: Positive ipsilateral or contralateral straight leg raise test (reproduction of leg symptoms with straight leg raise < 70 degrees) Sensory impairment to pinprick on the ipsilateral lower extremity Diminished strength of a myotome (hip flexion, knee extension, ankle dorsiflexion, great toe extension, or ankle eversion) of the ipsilateral lower extremity. Diminished lower extremity reflex (Quadriceps or Achilles) of the symptomatic lower extremity
Exclusion criteria
Exclusion criteria: Red flags noted in the patient's general medical screening questionnaire (i.e., tumor, metabolic diseases, RA, osteoporosis, spinal compression fracture, prolonged history of steroid use, etc.) Evidence of central nervous system involvement, including symptoms of cauda equina syndrome (i.e., loss of bowel/bladder control or saddle region paresthesia) or the presence of pathological reflexes (i.e., positive Babinski) Patient reports of complete absence of low back and leg symptoms when seated Recent surgery (< 6 months) to the lumbar spine or buttocks, or any fusion surgery of the lumbar spine or pelvis Recent (< 2 weeks) epidural steroid injection for low back and/or leg pain Current pregnancy Inability to comply with the treatment schedule
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain, Disability, Quality of life | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain and fear avoidance belief | — |
Countries
Nigeria
Contacts
Public ContactMaryam Abdulhadi
Post graduate student
Outcome results
None listed