1887
Volume 2003, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

One hundred patients with chronic sciatica were stud-ied to determine the effects upon the knee and ankle joints of both the sciatic and non-sciatic sides. The frequency of the clinical involvement of the knee and ankle joints at the sciatic side were 51% and 46% respectively, compared to 20% and 6% on the non-sciatic side (p < 0.001).

The most frequent knee and/or ankle joint manifesta-tions on the sciatic side were recurrent pain and tender-ness although these symptoms may be confused with the points of valliex and secondary pain loci. Painful exten-sion, giving way of the knee joint and recurrent twist of the foot seem significant in identifying affectedjoints together with functional limitations and swelling of the knee. Age, gender; duration and affected side seem to have some im-pact on the development of these symptoms.

It is concluded that chronic sciatica may predispose the knee and ankle joints to different insults in the context of muscle weakness, changed biomechanics and neurologi-cal abnormalities, resulting in the above problems.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2003.2.10
2003-12-01
2019-10-21
Loading full text...

Full text loading...

References

  1. 1. Solomon   Lois., , Warwick   David J., , Nayagam   Selvaduria. . Apley's System of Orthopedics and Fractures . , 8th ed..   Great Britain: : ; 3, 371–403, 472   Arnold;   2001; .
    [Google Scholar]
  2. 2. Richard A.   Deyo., , James N.   Weinsten. . D.O. Low back pain. . The New England Journal of Medicine . 2001; ;344: : 363– 365 .
    [Google Scholar]
  3. 3. Raymond D.   Adams., , Maurice   Victor., , Alain H.   Ropper. . Principle of Neurology . , 6th ed..   McCraw Hill;   114–142, 1363   1997; ; : 194– 223 .
    [Google Scholar]
  4. 4. Vroomen   PC., , de Krom   MC., , Knottnerus   J A. . Diagnostic value of history and physical examination in patients suspected of sciatica due to disc herniation, Asystemic review. . J. Neurol . 1999; ;246: : 899– 909 .
    [Google Scholar]
  5. 5. Deyo   RA., , Rainville J   Kent. . What can history and physical examination tell us about low lack pain?.   JAMA . 1992; ;268: : 760– 765 .
    [Google Scholar]
  6. 6. Jejfery Lewis   P. , et al. , Long term prospective study of lumbo-sacral discectomy. . Journal Neuro Surgery . 1987; ;67: : 49– 53 .
    [Google Scholar]
  7. 7. Robert   Downey Boutin., , Joseph Speath   H. . Donald Resnick; Degenerative disease of the spine. . In: William W   Orrison Jr. , ed. Neuroimaging . Vol. 2 . USA: : W.B. Saunders Company;   2000; ; : 1302– 1333 .
    [Google Scholar]
  8. 8. Szabo   G. , et al. , Aprospective comparative analysis of mobility in osteoarthritic Knees, Does life style have an influence?.   The Journal of Bone and Joint Surgery . 2000; ;82: : 1167– 1169 .
    [Google Scholar]
  9. 9. Daniel H   Solomon. , et al. , Does this patients have a torn meniscus or ligaments of the knee?.   JAMA . 2002; ;2: : 84– 94 .
    [Google Scholar]
  10. 10. Tom G. Mayer, Rehabilitation, What do we do with the chronic patient? In: Scott Haldman, Neurologic Clinics, Lower back pain, 1999; 17: 131-147 .
  11. 11. Timothy E   McAlindon. , et al. , Level of physical activity and the risk of radiographic and symptomatic Knee osteoarthritis in he elderly: The Framingham Study. . The American Journal of Medicine . 1999; ;106: : 151– 157 .
    [Google Scholar]
  12. 12. Joseph J   Baundo JR. . Regional rheumatic pain syndromes. . In: John H   Klippel. , ed. Primer On The Rheumatic Diseases . , 11th ed..   Atalanta, Georgia: : Artritis Foundation;   1997; ; : 136– 148 .
    [Google Scholar]
  13. 13. Nicholas E   Walsh. , et al. , Treatment of patient with chronic pain. . In: Joel A   Delisa., Bruce M   Gans. , eds. Rehabilitation Medicine Principles and Practice . , 2nd ed..   Philadelphia: : J.B. Lippincott Company;   1993; ; : 973– 995 .
    [Google Scholar]
  14. 14. Smillie   I S. . Diseases of the Knee Joint. . , 2nd ed..   London: : 169, 300, 344   Churchill Livingstone;   1980; ; : 1– 27 .
  15. 15. Casy Karrigan   D., , Jennifer L   Lelas., , Mark E   Karroky. . Women's shoes and Knee osteoarthritis. . Lancet . 2001; ;357: : 1097– 1100 .
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2003.2.10
Loading
  • Article Type: Research Article
Keyword(s): ankle , knee and sciatica
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error