Citation Information :
Tople JP, Das G, Das S. A Case Report on Radiating Low Back Pain and Space-occupying Lesion. J Recent Adv Pain 2019; 5 (1):27-28.
Radiating low back pain along the sciatic nerve or along L5 and/or S1 dermatome is common in clinical practice. Intraspinal pathologies are the common causes for such symptoms and, hence, are primarily considered during evaluation of patient with radiating low back pain. However, one must be aware of extraspinal pathologies that can lead to radiating pain to lower extremities. This case of space occupying lesion of gluteal region highlights the need for detailed, meticulous, and unbiased evaluation even in an apparently straight forward case so that an unusual clinical finding should not get missed.
Violante F, Mattioli S, et al. Low back pain. Handbook of Clinical Neurology, 17th ed., Elsevier; 2015. pp. 397–410. DOI: https://doi.org/10.1016/B978-0-444-62627-1.00020-2.
Spijker-Huiges A, Groenhof F, et al. Radiating low back pain in general practice: incidence, prevalence, diagnosis, and long-term clinical course of illness. Scand J Prim Health Care 2015;33(1):27–32. DOI: 10.3109/02813432.2015.1006462.
Nachemson A, Waddell G, et al. Epidemiology of neck and low back pain. In: Nachemson A, Jonsson E. ed. Neck and Back Pain: The Scientific Evidence of Causes, Diagnosis and Treatment. Philadelphia: Lippincott, Williams & Wilkins; 2000.
Hider SL, Whitehurst DG, et al. Pain location matters: The impact of leg pain on health care use, work disability and quality of life in patients with low back pain. Eur Spine J 2014;24(3):444–451.
Koes BW, van Tulder MW, et al. Diagnosis and treatment of sciatica. BMJ 2007;334(7607):1313–1317. DOI: 10.1136/bmj.39223.428495.BE.
Ergun T, Lakadamyali H. CT and MRI in the evaluation of extraspinal sciatica. Br J Radiol 2010;83(993):791–803. DOI: 10.1259/bjr/76002141.
Mahajan G, Loomba D. Lower extremity pain. In: Fishman SM, Ballantyne JC, et al. ed. Bonica's Management of Pain, 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. pp. 1069–1093.