CeU Discography (2005 2012)
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The basic clinical symptom of a patient with POSD is a lateralized pain that can be provoked by an imaging study, injection of an irritant, or discography. The pain is often referred to the leg, buttocks, or groin and radiation to the back and/or leg is common. The pain is more intense when the patient is standing upright and is relieved when the patient is lying down. Low back pain and pain radiating into the lower extremities are the most common symptoms, particularly with POSD.
Clinically, patients with POSD are known to present with radicular pain, sciatica and back pain with or without leg symptoms. In the elderly, symptoms include low back pain with radiculopathy, low back pain with or without leg pain, and dull low back pain with or without leg pain, which can be difficult to distinguish from non-specific back pain. Radicular pain can be provoked by discography of the involved spine with the disc's outer annulus ruptured. Intervertebral disc pathology can be detected in virtually all discs in active cases, and even with older patients in remission, the discs that are still degenerated are in a state of low grade inflammation and the inflammatory process is able to cause symptoms.
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