Disease Information for Arachnoiditis lumbosacral

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Clinical Manifestations
Signs & Symptoms
Buttock Pain
Hip claudication
Anal sphincter/loss of tone/reflex
Proctalgia
Rectal pain Rectalgia
Leg fatigue
Paravertebral muscle spasms/back
Proximal lower extremity weakness
Pseudoclaudication syndrome
Weak/Weak as a kitten (symptom)
Weakness climbing stairs
Weakness, legs, bilateral
Absent knee reflexes
Ankle reflexes absent
Lateral feet loss/sensation
Numbness/buttocks/thighs
Saddle anesthesia/sign
Sciatica
Unable to Walk on Toes
Weak lower extremities
Acute Back Pain
Back Pain
Back Pain on Percussion/Spine
Back Pain Relieved by Sitting
Back pain/low unilateral
Back pain/Positional changes/mechanical
Back pain/radiating back of leg/unilateral
Back/neurogenic claudication syndrome
Back/Spine/Axial Pain
Backache
Chronic Back Pain
Chronic lumbar neuropathic pain syndrome
Loss/lumbar lordosis
Low Back Pain
Low back pain radiating posterior thighs
Low back pain/Need to constantly/change position
Lumbar spine limited motion
Pelvic girdle pain
Rigid back posture/spasm
Rigidity of back
Sacrum area back pain
Simian stance/gate/bent forward/stooped/flexed
Spine pain/vertebral skeletal pain
Stiffness lower limb girdle
Straight leg raise limited/unilateral
Symmetric low back pain
Chronically ill patient/signs
Decreased exercise tolerance/effort fatigue
Difficulty climbing stairs
Difficulty rising from chair
Easier to run than walk
Enervated/extreme acute fatigue
Intolerant to leaning forward
Poor Stamina
Weakness
Disease Progression
Course/Chronic disorder
Course/Chronic only
Demographics & Risk Factors
Established Disease Population
Patient/Lumbosacral spine disk/arthritis/surgery
Diagnostic Test Results
CT Scan
CT Scan/Lumbar spine abnormal
MRI/Spinal/back abnormal
X-RAY
Xray/Lumbosacral spine/abnormalities
Associated Diseases & Rule outs
Associated Disease & Complications
Arachnoiditis,chronic lumbosacral
Cauda equina syndrome
Paraparesis
Sacral radiculopathy
Spinal stenosis syndrome
Disease Mechanism & Classification
Class
CLASS/Meninges/pia/arachnoid involvement (ex)
CLASS/Neurologic (category)
CLASS/Lumbosacral joint involvement/disorder (ex)
CLASS/Skeletal (category)
Pathophysiology
Pathophysiology/Subdural Spinal Mass
Pathophysiology/Intervertebral disk disorder (ex).
Process
PROCESS/Structural/anatomic/foreign body (category)
Synonyms
Synonym
Arachnitis, ARACHNOID MEMBRANE INFLAMM, Arachnoid Membrane Inflammation, Arachnoid Membrane Inflammations, Arachnoiditides, arachnoiditis, Arachnoiditis (disorder), INFLAMM ARACHNOID MEMBRANE, Inflammation Arachnoid Membrane, Inflammations Arachnoid Membrane, Lumbosacral region, Lumbosacral region structure, Lumbosacral region structure (body structure), Lumbosacral Regions, Other meningitis, Other meningitis or arachnoiditis, Region Lumbosacral, Regions Lumbosacral, Synonym/Arachnoiditis adhesive, chronic, Synonym/Failed back syndrome
Treatment
Drug Therapy - Indication
RX/Local injection/steroid
Other Treatments
TX/Exercises/physical therapy
Definition

Adhesions and inflammatory response of arachnoid/dura in low lumbar spine with encasing sacral/lumbar neuropathy; often but not always caused by disk surgery complications; chronic condition. Low grade infection, trauma, or bleeding irritation or foreign body (talc) suggested. Often no proof of strict reason but chronic pain often with lumbar radiculopathy-like pattern and epicritic pain is evident. MRI is positive for areas of thickening and encasement of lumbar radicular area. usually quite painful and not easily repaired.

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External Links Related to Arachnoiditis lumbosacral
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PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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