Sonoelastographic evaluation of the sciatic nerve in patients with unilateral lumbar disc herniation

Çelebi, Umut Orkun; Burulday, Veysel; Özveren, Mehmet Faik; Doğan, Adil; Akgül, Mehmet

doi:10.1007/s00256-018-3020-7

Cited by 14 publications

(14 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…▪ Class 3 includes both large nerves (e. g., the femoral and sciatic nerves in their intrapelvic course) and small nerves (e. g., the deep peroneal nerves) which are poorly visualized or undetectable with US due to their anatomical location. In this case, US diagnosis relies only on indirect signs of nerve damage, including signs of denervation of the skeletal muscles supplied by the affected nerve [270,271].…”

Section: Compression Neuropathiesmentioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

et al. 2021

View full text Add to dashboard Cite

The first part of the guidelines and recommendations for musculoskeletal ultrasound, produced under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB), provides information about the use of musculoskeletal ultrasound for assessing extraarticular structures (muscles, tendons, entheses, ligaments, bones, bursae, fasciae, nerves, skin, subcutaneous tissues, and nails) and their pathologies. Clinical applications, practical points, limitations, and artifacts are described and discussed for every structure. After an extensive literature review, the recommendations have been developed according to the Oxford Centre for Evidence-based Medicine and GRADE criteria and the consensus level was established through a Delphi process. The document is intended to guide clinical users in their daily practice.

show abstract

Section: Compression Neuropathiesmentioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

et al. 2021

View full text Add to dashboard Cite

show abstract

“…[36][37][38] Finally, patients with unilateral lumbar disk herniation have increased stiffness of the sciatic nerve compared with the noninvolved side. 39 With regard to soft tissue masses, shear-wave elastography can increase the accuracy of diagnosis in conjunction with gray-scale US. 40 However, no useful threshold in shear-wave velocity was found to differentiate benign from malignant lesions.…”

mentioning

confidence: 99%

Quantitative Musculoskeletal Ultrasound

Gitto

Messina

Vitale

et al. 2020

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Ultrasound (US) imaging plays a crucial role in the assessment of musculoskeletal (MSK) disorders. Several quantitative tools are offered by US systems and add information to conventional US imaging. This article reviews the quantitative US imaging tools currently available in MSK radiology, specifically focusing on the evaluation of elasticity with shear-wave elastography, perfusion with contrast-enhanced US and noncontrast superb microvascular imaging, and bone and muscle mass with quantitative US methods. Some of them are well established and already of clinical value, such as elasticity and contrast-enhanced perfusion assessment in muscles and tendons. MSK radiologists should be aware of the potential of quantitative US tools and take advantage of their use in everyday practice, both for clinical and research purposes.

show abstract

“…Low back–related leg pain, commonly known as sciatica, is a frequent neuropathy with a prevalence ranging from 1.6% to 43% . The sciatic nerve is thought to be the main structure affected in this clinical condition, and recent studies using ultrasound‐based measures have shown changes in the sciatic nerve's biomechanical properties of people with sciatica, such as an increased cross‐sectional area and increased stiffness . In clinical settings, neurodynamic techniques using a slump position are frequently performed during rehabilitation of people with sciatica, with positive outcomes in pain and disability .…”

mentioning

confidence: 99%

“…Thus, there seems to be little consensus involving the effects of neurodynamics in healthy sciatic nerves. Considering that slump neurodynamic techniques are often used in the rehabilitation of peripheral neuropathies, it should be relevant to establish the mechanical effects of this intervention in the sciatic nerves of patients with sciatica, who have been shown to have changes in the sciatic nerve's mechanical properties . Thus, the purpose of this study was to assess the immediate effects of slump neurodynamics in the sciatic nerve stiffness of people with sciatica using SWE.…”

mentioning

confidence: 99%

“…1 The sciatic nerve is thought to be the main structure affected in this clinical condition, and recent studies using ultrasound-based measures have shown changes in the sciatic nerve's biomechanical properties of people with sciatica, such as an increased cross-sectional area [2][3][4] and increased stiffness. 5,6 In clinical settings, neurodynamic techniques using a slump position are frequently performed during rehabilitation of people with sciatica, with positive outcomes in pain 7 and disability. 8 However, little is known about the mechanical effects of neurodynamics in human nerves, as most of the previous research used animal models 9 or human cadavers.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Shear Wave Elastographic Investigation of the Immediate Effects of Slump Neurodynamics in People With Sciatica

Neto

Freitas

Andrade

et al. 2019

J of Ultrasound Medicine

View full text Add to dashboard Cite

Objectives Neurodynamic techniques are often used to treat people with sciatica pain, but their mechanical effects on the sciatic nerve are unknown. Shear wave elastography (SWE) has been shown to effectively estimate the stiffness of peripheral nerves in real time. The aim of this study was to use SWE to assess the effects of slump neurodynamics in the sciatic stiffness of people with sciatica. Methods Sixteen participants volunteered for this study. The sciatic stiffness of 8 patients with unilateral chronic sciatica and 8 healthy control participants was measured by SWE, with the participants in a prone position and during a dynamic condition (ie, ankle dorsiflexion). These measurements were performed before and immediately after the neurodynamic intervention, which consisted of a static slump position applied to the symptomatic limb of the patients with sciatica and in a randomly chosen limb of the healthy participants. Results The 8 patients with sciatica included 6 male and 2 female patients, and the 8 healthy control participants included 5 male and 3 female volunteers. Slump neurodynamics resulted in an immediate decrease in the sciatic nerve stiffness of the symptomatic limb in people with sciatica by 16.1% (effect size = 0.65; P = .019). The intervention showed no significant changes in the sciatic nerve stiffness of the healthy participants (effect size = 0.05; P = .754). Conclusions Slump neurodynamics have the potential of decreasing the sciatic nerve stiffness in people with sciatica, and this effect can be quantified by SWE, which may provide valuable information for health professionals.

show abstract

Sonoelastographic evaluation of the sciatic nerve in patients with unilateral lumbar disc herniation

Cited by 14 publications

References 20 publications

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies

Quantitative Musculoskeletal Ultrasound

Shear Wave Elastographic Investigation of the Immediate Effects of Slump Neurodynamics in People With Sciatica

Contact Info

Product

Resources

About