A current update on pelvifemoral conditions that should be in the differential diagnosis for patients with lower extremity radiculopathy

Jakob F. Awender, Cort D. Lawton*, Tyler J. Jenkins, Bennet A. Butler, Ryan S. Selley, Vehniah K. Tjong, Michael A. Terry, Wellington K. Hsu

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Patients presenting to an outpatient spine clinic frequently report symptoms of low back pain with associated buttock, groin, and lower extremity pain. While many of these individuals suffer from lumbar spine radiculopathy, a number of different orthopedic pathologies can mimic these symptoms. Management depends substantially on a detailed history and physical examination, in addition to working from a broad list of differential diagnoses when evaluating these patients. It is imperative that spine practitioners have a comprehensive understanding of the differential diagnoses that may mimic those originating from the lumbar spine, especially when a patient's symptoms are atypical from classic radicular pain. Misdiagnosis can lead to unnecessary testing and treatment, while delaying an accurate clinical assessment and treatment plan. This review highlights common orthopedic diagnoses that may present similar to lumbar spine pathologies and the evidence-based evaluation of these conditions.

Original languageEnglish (US)
Pages (from-to)206-215
Number of pages10
JournalClinical spine surgery
Volume34
Issue number6
DOIs
StatePublished - Jul 2021

Keywords

  • Back pain
  • Hip pain
  • Hip spine syndrome
  • Radiculopathy

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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