Radicular pain caused by Schmorl's node: a case report
Schmorl's node a focal herniation of intervertebral disc through the end plate into the vertebral body. Most of the established Schmorl's nodes are quiescent. However, disc herniation into the vertebral marrow can cause low back pain by irritating a nociceptive system. Schmorl's node...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-05-01
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| Series: | Brazilian Journal of Anesthesiology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001417300817 |
| _version_ | 1811253565869522944 |
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| author | Saeyoung Kim Seungwon Jang |
| author_facet | Saeyoung Kim Seungwon Jang |
| author_sort | Saeyoung Kim |
| collection | DOAJ |
| description | Schmorl's node a focal herniation of intervertebral disc through the end plate into the vertebral body. Most of the established Schmorl's nodes are quiescent. However, disc herniation into the vertebral marrow can cause low back pain by irritating a nociceptive system. Schmorl's node induced radicular pain is a very rare condition. Some cases of Schmorl's node which generated low back pain or radicular pain were treated by surgical methods. In this article, authors reported a rare case of a patient with radicular pain cause by Schmorl's node located at the inferior surface of the 5th lumbar spine. The radicular pain was alleviated by serial 5th lumbar transforaminal epidural blocks. Transforaminal epidural block is suggested as first conservative option to treat radicular pain due to herniation of intervertebral disc. Therefore, non-surgical treatment such as transforaminal epidural block can be considered a first treatment option for radicular pain caused by Schmorl's node. Resumo: O nódulo de Schmorl (NS) é a herniação focal do disco intervertebral através da placa terminal para dentro do corpo vertebral. A maioria dos nódulos de Schmorl já estabelecidos é quiescente. Porém, a hérnia de disco na medula vertebral pode causar dor lombar quando afeta um sistema nociceptivo. A dor radicular induzida por NS é uma condição muito rara. Alguns casos de NS que causaram dor lombar ou radicular foram tratados com procedimentos cirúrgicos. Neste artigo, relatamos o caso raro de um paciente com dor radicular causada por NS localizado na superfície inferior da quinta vértebra lombar (L5). A dor radicular foi atenuada mediante uma série de bloqueios peridurais transforaminais no nível L5. O bloqueio epidural transforaminal (BET) foi sugerido como primeira opção conservadora para tratar a dor radicular devido à herniação do disco intervertebral. Portanto, um tratamento não-cirúrgico como o BET pode ser considerado como uma primeira opção de tratamento da dor radicular causada por NS. Keywords: Epidural analgesia, Low back pain, Sciatica, Steroids, Palavras-chave: Analgesia epidural, Dor lombar, Ciática, Esteroides |
| first_indexed | 2024-04-12T16:52:53Z |
| format | Article |
| id | doaj.art-8dd7794cf82c4cc4a4b61f6517af9b32 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-12T16:52:53Z |
| publishDate | 2018-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-8dd7794cf82c4cc4a4b61f6517af9b322022-12-22T03:24:21ZengElsevierBrazilian Journal of Anesthesiology0104-00142018-05-01683322324Radicular pain caused by Schmorl's node: a case reportSaeyoung Kim0Seungwon Jang1Corresponding author.; Kyungpook National University, School of Medicine, Department of Anesthesiology and Pain Medicine, Daegu, Republic of KoreaKyungpook National University, School of Medicine, Department of Anesthesiology and Pain Medicine, Daegu, Republic of KoreaSchmorl's node a focal herniation of intervertebral disc through the end plate into the vertebral body. Most of the established Schmorl's nodes are quiescent. However, disc herniation into the vertebral marrow can cause low back pain by irritating a nociceptive system. Schmorl's node induced radicular pain is a very rare condition. Some cases of Schmorl's node which generated low back pain or radicular pain were treated by surgical methods. In this article, authors reported a rare case of a patient with radicular pain cause by Schmorl's node located at the inferior surface of the 5th lumbar spine. The radicular pain was alleviated by serial 5th lumbar transforaminal epidural blocks. Transforaminal epidural block is suggested as first conservative option to treat radicular pain due to herniation of intervertebral disc. Therefore, non-surgical treatment such as transforaminal epidural block can be considered a first treatment option for radicular pain caused by Schmorl's node. Resumo: O nódulo de Schmorl (NS) é a herniação focal do disco intervertebral através da placa terminal para dentro do corpo vertebral. A maioria dos nódulos de Schmorl já estabelecidos é quiescente. Porém, a hérnia de disco na medula vertebral pode causar dor lombar quando afeta um sistema nociceptivo. A dor radicular induzida por NS é uma condição muito rara. Alguns casos de NS que causaram dor lombar ou radicular foram tratados com procedimentos cirúrgicos. Neste artigo, relatamos o caso raro de um paciente com dor radicular causada por NS localizado na superfície inferior da quinta vértebra lombar (L5). A dor radicular foi atenuada mediante uma série de bloqueios peridurais transforaminais no nível L5. O bloqueio epidural transforaminal (BET) foi sugerido como primeira opção conservadora para tratar a dor radicular devido à herniação do disco intervertebral. Portanto, um tratamento não-cirúrgico como o BET pode ser considerado como uma primeira opção de tratamento da dor radicular causada por NS. Keywords: Epidural analgesia, Low back pain, Sciatica, Steroids, Palavras-chave: Analgesia epidural, Dor lombar, Ciática, Esteroideshttp://www.sciencedirect.com/science/article/pii/S0104001417300817 |
| spellingShingle | Saeyoung Kim Seungwon Jang Radicular pain caused by Schmorl's node: a case report Brazilian Journal of Anesthesiology |
| title | Radicular pain caused by Schmorl's node: a case report |
| title_full | Radicular pain caused by Schmorl's node: a case report |
| title_fullStr | Radicular pain caused by Schmorl's node: a case report |
| title_full_unstemmed | Radicular pain caused by Schmorl's node: a case report |
| title_short | Radicular pain caused by Schmorl's node: a case report |
| title_sort | radicular pain caused by schmorl s node a case report |
| url | http://www.sciencedirect.com/science/article/pii/S0104001417300817 |
| work_keys_str_mv | AT saeyoungkim radicularpaincausedbyschmorlsnodeacasereport AT seungwonjang radicularpaincausedbyschmorlsnodeacasereport |