Differential diagnosis of radulocut

What Causes Kidney Stones? - Arash Shadman (Health And Medical Video June 2018).

Correctly diagnose the disease - already half the treatment. In the case of radiculitis, this is the case. Often, under the characteristic of radiculitis pain hides other diseases, among which you can find and quite serious. Let's deal with the issue of competent diagnosis of radiculitis.

Diagnosis of radiculitis is based on carefully collected information on the development of the disease, characteristic clinical picture, as well as data obtained during X-ray and laboratory examination.

Diagnosis of radiculitis: differential diagnosis

Differentiate radiculitis with:

  • Tumors of the spinal cord;
  • Inflammatory diseases of the spinal cord (myelitis);
  • Systemic neuritis
  • Spinal cord injuries (serious injuries are usually accompanied by fractures of the vertebrae; in addition, possible spinal cord injuries, dislocation and subluxation of the vertebrae, etc.);
  • Atherosclerosis of various vessels (localized atherosclerosis of the aorta and mesenteric vessels, in which the clinic is dominated by scars characteristic of the pain);
  • Inflammation of the arteries (arteritis of the aorta and large vessels);
  • Stomach spinal (acute violation of blood circulation in the spinal cord may be due to myocardial infarction, spinal tumor, aortic lesion, etc.).

In addition, the pain syndrome, similar to that found in radiculitis, can be manifested in:

  • Joint diseases (eg, hip, shoulder or knee);
  • Some muscle diseases, especially inflammatory;
  • Some diseases of the internal organs, accompanied by the spread of pain in the appropriate areas (appendicitis, cholecystitis, angina pectoris, etc.).

Diagnosis of radiculitis involves the exclusion of all listed diseases.

Methods of diagnosis of radiculitis

Radial diagnostic methods for radiculitis (X-ray, computer tomography, magnetic resonance imaging, etc.) can determine the presence and nature of the striking agent. In the first place, they are used to distinguish radiculitis from bulk processes - tumors.

There is no direct correlation between the X-ray pattern and the strength of the symptoms, as it is impossible to exclude and defeat the intervertebral disc even in a completely normal X-ray picture.

Despite this fact, osteochondrosis, which is a common cause of radiculitis, is often seen on the X-ray, as a change in the size and shape of the vertebrae, as well as their location relative to one another. The latter can be detected by special examination - functional radiography, when the picture is taken in the position of flexion and extension of the spine.

In case of suspicion of defeat of intervertebral discs, special X-ray methods with contrasting are used. The contrast introduced into the biological fluid allows you to see the small details that are poorly seen on ordinary images, which makes the diagnosis of radiculitis more precise.

For differential diagnosis of radiculitis, also:

  • Analysis of the cerebrospinal fluid;
  • General blood test;
  • Specialized blood tests (for blood sugar, creatine kinases, etc.);
  • Immunological examination for various infectious diseases;
  • Ultrasound examination of the internal organs.

Even if a person, for one reason or another, is sure that he has a radiculitis, the best option would be to apply to a specialist - a neurologist.

It happens that manual therapists, acupuncture and other specialists may start treating a person with back pain without proper examination, guided only by their own professional knowledge. In this case, there is a certain risk, sometimes resulting in a bad result. Radiculitis treatment should always begin with diagnosis.

In each individual case, the doctor may assign one or more diagnostic manipulations from the list above or suggest their own and, according to their results, prescribe appropriate treatment.

Differential diagnosis of radulocut

Category Of Medical Issues: Diseases

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