Synes du prolapspasienter er vanskelige? Lurer du på hva et prolaps egentlig er? Hvor farlig er det? Når skal jeg henvise videre? Skal alle prolapser opereres?Over de to neste episodene snakker vi med manuellterapeut Simen Sletten om hva lumbale skiveprolapser faktisk er, hvordan vi kan klassifisere og diagnostisere pasienter med lumbalt skiveprolaps og hvilken hjelp vi kan gi. Som Simen selv sier, så trengte han en bachelor i idrett, en bachelor i fysioterapi og en mastergrad i manuellterapi for å innse hvor lite han egentlig kunne om lumbal skiveprolapser. Resultatet av nysgjerrigheten hans har resultert i flere strålende artikler, som gjør livet vårt som klinikere særdeles mye enklere. Så, takk til Simen, og god fornøyelse!Vi anbefaler alle å ta en titt på bloggen til Simen for utdypende informasjon om lumbalt skiveprolaps: https://manuellterapeuten.net Referanser:Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain. 15. desember 2009;147(1–3):17–9.Brinjikji W, Luetmer PH, Comstock B, Bresnahan BW, Chen LE, Deyo RA, mfl. Systematic Literature Review of Imaging Features of Spinal Degeneration in Asymptomatic Populations. Am J Neuroradiol. april 2015;36(4):811–6.Fardon DF, Williams AL, Dohring EJ, Murtagh FR, Gabriel Rothman SL, Sze GK. Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology. Spine J Off J North Am Spine Soc. 1. november 2014;14(11):2525–45.Jesson T. Sciatica - The clinician’s guide. Book 1: What is it? 2021. Jesson T, Runge N, Schmid AB. Physiotherapy for people with painful peripheral neuropathies: a narrative review of its efficacy and safety. PAIN Rep. oktober 2020;5(5):1. Lurie JD, Tosteson TD, Tosteson ANA, Zhao W, Morgan TS, Abdu WA, mfl. Surgical versus nonoperative treatment for lumbar disc herniation: eight-year results for the spine patient outcomes research trial. Spine. 1. januar 2014;39(1):3–16.Schmid AB, Tampin B. Section 10, Chapter 10: Spinally Referred Back and Leg Pain – International Society for the Study of the Lumbar Spine. I: Boden SD, redaktør. Lumbar Spine Online Textbook [Internett]. 2020 [sitert 4. oktober 2020]. Tilgjengelig på: http://www.wheelessonline.com/ISSLS/section-10-chapter-10-spinally-referred-back-and-leg-pain/Schmid AB, Fundaun J, Tampin B. Entrapment neuropathies: a contemporary approach to pathophysiology, clinical assessment, and management. Pain Rep [Internett]. 22. juli 2020 [sitert 24. september 2020];5(4). Tawa N, Rhoda A, Diener I. Accuracy of clinical neurological examination in diagnosing lumbo-sacral radiculopathy: a systematic literature review. BMC Musculoskelet Disord. 23 2017;18(1):93.Ostelo RW. Physiotherapy management of sciatica. J Physiother. april 2020;66(2):83–8MUSIKK: Joseph McDade - Mirrors

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