August 28, 2014
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Groin, radicular leg pain may indicate L3, L4 radiculopathy

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Physicians should consider diagnosis of L3 or L4 radiculopathy when examining patients with groin and radicular leg pain, according to researchers.

Researchers reviewed clinical records for 210 patients surgically treated between June 2005 and September 2012 for single-level lumbar radiculopathy. Spinal level of the affected nerve root and clinical symptoms, as well as surgical outcomes based on the Japanese Orthopedic Association (JOA) score for lumbar diseases and a VAS pain score were evaluated.

Of the 210 patients, 127 had surgery for L5 radiculopathy, 56 for S1 radiculopathy, 20 for L4 radiculopathy, and seven for L3 radiculopathy. Eight patients experienced groin pain as well, with five having L4 radiculopathy and three having L3 radiculopathy.

Surgical compression of the affected nerve roots helped relieve the pain experienced by these patients, according to the researchers. Significant improvements were seen in JOA and VAS pain scores following surgery.

During the mean follow-up period of 19.6 months, none of the patients required additional groin pain treatment, according to the researchers.

Disclosures: The authors reported no relevant financial disclosures.