von Heymann W
Orthopädische Praxis, Mendestr. 7, 28203, Bremen, Deutschland.
Schmerz. 2015 Dec;29(6):667-76; quiz 676-8. doi: 10.1007/s00482-015-0075-4.
Pseudo-radicular leg pain as initially described by Bruegger more than 55 years ago was at that time a genius explanation for so many non-radicular pain syndromes that needed not any kind of surgical intervention but in first line a manual treatment or a treatment by therapeutic local anesthetics. Today we describe this pain as a "referred pain" originating from other anatomic structures that may occur during the development of chronic pain. Nevertheless this pain is found in many patients and it still seems to be a big problem for many physicians and surgeons. Imaging does not help either. The history and the clinical symptoms, the examinations, the chain reactions in the motor system as well as the treatment options from the point of view of manual medicine are described.
伪根性腿痛最初由布吕格在55多年前描述,在当时,它是对许多非根性疼痛综合征的天才解释,这些综合征不需要任何手术干预,一线治疗是手法治疗或局部治疗性麻醉。如今,我们将这种疼痛描述为源自其他解剖结构的“牵涉痛”,它可能在慢性疼痛的发展过程中出现。然而,许多患者都有这种疼痛,对许多内科医生和外科医生来说,这似乎仍然是个大问题。影像学检查也无济于事。本文描述了病史、临床症状、检查、运动系统中的连锁反应以及手法医学角度的治疗选择。