Early-stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal disease
Abstract Leg pain can be caused by both lumbar spinal disease and chronic venous disorder (CVD) of leg veins, but their clinical differences have not been thoroughly investigated. This study aimed to determine the incidence of CVD among patients visiting a spine center for leg pain. A total of 196 c...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-10-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-45623-0 |
| _version_ | 1797559840934985728 |
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| author | Dong-Hoon Yang Mansu Kim Joong Won Yang Jae Man Cho Sang Jin Park Heum Dai Kwon |
| author_facet | Dong-Hoon Yang Mansu Kim Joong Won Yang Jae Man Cho Sang Jin Park Heum Dai Kwon |
| author_sort | Dong-Hoon Yang |
| collection | DOAJ |
| description | Abstract Leg pain can be caused by both lumbar spinal disease and chronic venous disorder (CVD) of leg veins, but their clinical differences have not been thoroughly investigated. This study aimed to determine the incidence of CVD among patients visiting a spine center for leg pain. A total of 196 cases underwent ultrasound examination with a diagnosis rate were 85.7% (168 cases). CVD-diagnosed cases were divided into two groups based on the severity of lumbar spinal disease. The Clinical grades, symptom areas, and symptom types were compared. The differences in symptom improvements with vasoactive medication were also assessed. The most common symptom area was calf then the foot in CVD, while calf then thigh in lumbar spinal disease. Tingling-paresthesia was the most common symptom type for both, with pain and cramping similarly common in CVD and pain more common than cramping in lumbar spinal disease. Considering that the majority of CVD cases (78.6%) had minor cutaneous changes and almost half of cases (41.7%) had refluxes only in tributaries, significant differences in symptom improvement in CVD-dominant group suggested that early-stage venous reflux is a symptomatic disease and a possible cause of leg pain and other symptoms. |
| first_indexed | 2024-03-10T17:51:56Z |
| format | Article |
| id | doaj.art-87cec702b4344ff49f209031ae4ec7cc |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-10T17:51:56Z |
| publishDate | 2023-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-87cec702b4344ff49f209031ae4ec7cc2023-11-20T09:20:41ZengNature PortfolioScientific Reports2045-23222023-10-0113111110.1038/s41598-023-45623-0Early-stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal diseaseDong-Hoon Yang0Mansu Kim1Joong Won Yang2Jae Man Cho3Sang Jin Park4Heum Dai Kwon5Department of Neurosurgery, Pohang Stroke & Spine HospitalDepartment of Neurosurgery, Pohang Stroke & Spine HospitalDepartment of Neurosurgery, Pohang Stroke & Spine HospitalDepartment of Neurosurgery, Pohang Stroke & Spine HospitalDepartment of Neurosurgery, Pohang Stroke & Spine HospitalDepartment of Neurosurgery, Pohang Stroke & Spine HospitalAbstract Leg pain can be caused by both lumbar spinal disease and chronic venous disorder (CVD) of leg veins, but their clinical differences have not been thoroughly investigated. This study aimed to determine the incidence of CVD among patients visiting a spine center for leg pain. A total of 196 cases underwent ultrasound examination with a diagnosis rate were 85.7% (168 cases). CVD-diagnosed cases were divided into two groups based on the severity of lumbar spinal disease. The Clinical grades, symptom areas, and symptom types were compared. The differences in symptom improvements with vasoactive medication were also assessed. The most common symptom area was calf then the foot in CVD, while calf then thigh in lumbar spinal disease. Tingling-paresthesia was the most common symptom type for both, with pain and cramping similarly common in CVD and pain more common than cramping in lumbar spinal disease. Considering that the majority of CVD cases (78.6%) had minor cutaneous changes and almost half of cases (41.7%) had refluxes only in tributaries, significant differences in symptom improvement in CVD-dominant group suggested that early-stage venous reflux is a symptomatic disease and a possible cause of leg pain and other symptoms.https://doi.org/10.1038/s41598-023-45623-0 |
| spellingShingle | Dong-Hoon Yang Mansu Kim Joong Won Yang Jae Man Cho Sang Jin Park Heum Dai Kwon Early-stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal disease Scientific Reports |
| title | Early-stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal disease |
| title_full | Early-stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal disease |
| title_fullStr | Early-stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal disease |
| title_full_unstemmed | Early-stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal disease |
| title_short | Early-stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal disease |
| title_sort | early stage chronic venous disorder as a cause of leg pain overlooked for lumbar spinal disease |
| url | https://doi.org/10.1038/s41598-023-45623-0 |
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