Maselli Filippo, Testa Marco
J Back Musculoskelet Rehabil. 2019;32(2):361-365. doi: 10.3233/BMR-181164.
Running is one of the most common sports practices in the world due to the beneficial impact on the health, despite the relatively high risk of getting injuries. In fact, running is one of the most common sports capable to induce overuse injuries of the lower back and leg. In previous studies, the symptoms in the lower limb have been attributed to lumbosacral degenerative pathology. When the symptoms are unclear, they must be studied with great attention by carrying out an accurate process of screening and differential diagnosis.
A 42-year-old non-competitive male runner who complained of left leg pain was referred to a physiotherapist. He reported a continuous, deep, sharp, shooting pain of the left leg. The symptoms began one year earlier. Symptoms worsened during prolonged driving and long distance running. The patient had been previously diagnosed with lumbar radicular irradiation in the leg by a general practitioner. Initial management, in another physical therapy outpatient setting, was without any improvement.
After surgical excision, symptoms gradually regressed shortly and the patient was referred to a physiotherapist in order to fully recover and restore work and running activities.
This case report describes the history, assessment and treatment of a runner with a rare cause of leg pain. After surgery excision, treatment focused on education and loading the tissues over many weeks through a graded program of loaded exercises and running retraining.
跑步是世界上最常见的运动方式之一，因为它对健康有益，尽管受伤风险相对较高。事实上，跑步是最常见的能引发下背部和腿部过度使用损伤的运动之一。在先前的研究中，下肢症状被归因于腰骶部退行性病变。当症状不明确时，必须通过进行准确的筛查和鉴别诊断过程予以高度关注。
一名42岁的非竞技男性跑步者因左腿疼痛被转诊至物理治疗师处。他自述左腿持续、深部、尖锐、刺痛。症状始于一年前。长时间驾车和长跑时症状加重。该患者此前被全科医生诊断为腿部腰椎神经根放射痛。在另一家物理治疗门诊进行的初始治疗未见任何改善。
手术切除后，症状很快逐渐消退，患者被转诊至物理治疗师处，以便完全康复并恢复工作和跑步活动。
本病例报告描述了一名跑步者腿部疼痛罕见病因的病史、评估和治疗。手术切除后，治疗重点是通过分级加载练习和跑步再训练计划，在数周内对组织进行教育和负荷训练。
