Radicular Pain & Radiculopathy with Adam Dobson
Here I speak to fellow spinal specialist Physiotherapist, Adam Dobson on lumbar radicular pain and radiculopathy (a.k.a "Sciatica"). In this conversation we drill down on the common and uncommon terminology around these clinical conditions. We discuss the mechanisms involved at a tissue level. We then chat through different assessment approaches & some sensible management strategies for patients with these problems. By the end of the episode listeners and viewers should have a good grasp on the topic and some ideas how these problems can be managed in clinical practice. This is 'All Things Spinal': Episode 1 #backpain #sciatica #nervepain #neuropathic #pain #rehabilitation Who am I and where to find me? I'm Thomas Dekkers - a Spinal Specialist Physiotherapist. I'm based in Ireland and work clinically with patients with spinal pain. I'm also involved in both research & teaching on spinal rehabilitation. For further information you can find me here 👇 🌎 My website - https://www.thomasdekkers.com 📷 Instagram - https://instagram.com/TDekkkersPhysio 🆇 (Twitter) - https://twitter.com/TDekkersPhysio Chapters 0:00 Introduction 00:06:45 Definitions &Terminology 00:16:50 Pathophysiology mechanisms 00:25:53 Prevalence & Burden 00:32:56 Assessment & Diagnosis 00:51:12 Conservative Management 1:13:24 When to refer on? 1:21:12 Adams Top Papers on the topic 1:23:24 Adams top tips 1:25:38 Audience Questions 1:27:26 Closing Comments Recommended Reading 📑 Bender et al (2022) https://pubmed.ncbi.nlm.nih.gov/36306170/ Konstantinou et al (2020) - Scopic Trial https://www.thelancet.com/journals/lanrhe/... Schmidt et al (2020) https://pubmed.ncbi.nlm.nih.gov/32766466/ Adams Top Tips ☝️ 1. Develop good handling skills, especially with a reflex hammer. 2. Get comfortable with radicular pain and radiculopathies taking a long time to get better.

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