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Neuropathic back pain 

Neuropathic back pain
Chapter:
Neuropathic back pain
Author(s):

Rainer Freynhagen

DOI:
10.1093/med/9780199563678.003.0010
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date: 05 June 2020

Approximately 25–30% of patients with chronic low back pain have a neuropathic component, most usually chronic lumbar radicular pain.

Distinguishing between radicular and pseudoradicular syndromes in low back pain may have some clinical relevance but in practice is difficult to achieve.

A neuropathic component in low back pain can be identified through a combination of verbal descriptors and thorough clinical examination including evoking nerve root tension signs or dural irritation (e.g. straight leg raise). There is poor correlation between radiologic imaging and clinical symptoms....

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