A Game of CLUE: Can You Deduce the Different Causes for the Same Presenting Back and Lower Extremity Symptoms?-Session Presentation

Video Transcription

Video Summary

This video provides a series of mini-presentations on various topics related to spine pain and pathology. The first presenter discusses a case of foot drop and explains the possible causes, including stroke, lumbar radiculopathy, compartment syndrome, and common peroneal neuropathy. The presenter emphasizes the importance of considering a lumbar radiculopathy and performing a thorough examination, which may include an EMG and MRI, to confirm the diagnosis. The second presenter discusses the topic of painful feet, focusing on Morton's neuroma, an interdigital nerve compression that causes pain in the toes and numbness in the foot. The presenter explains the symptoms, diagnosis, and treatment options for Morton's neuroma, including conservative measures such as wearing wider shoes and using orthotics, as well as surgical options for patients who do not respond to conservative treatment. The third presenter discusses the topic of numb thigh, specifically focusing on perineal neuropathy and lumbar radiculopathy as possible causes. The presenter explains the clinical features and diagnostic tests for perineal neuropathy and lumbar radiculopathy, and emphasizes the importance of considering the duration, severity, and age of the patient when determining when to refer for surgical consultation. The fourth presenter discusses urinary urgency as a symptom of spinal pathology, specifically cauda equina syndrome. The presenter explains the prevalence and clinical features of cauda equina syndrome, including the classic triad of symptoms: severe pain in the legs, saddle anesthesia, and urinary incontinence. The presenter emphasizes the importance of early diagnosis and decompression surgery for optimal outcomes. The fifth presenter discusses night pain as a symptom of neoplastic causes of back pain. The presenter reviews the prevalence of malignant causes of back pain and the associated features that may raise suspicion, such as spontaneous onset of symptoms and no relief with conservative treatment. The presenter highlights the importance of follow-up care and appropriate diagnostic tests, such as blood work and imaging, to rule out neoplastic causes of back pain. Overall, these presentations provide valuable insights into the diagnosis and management of various spinal conditions and highlight the importance of thorough evaluation and follow-up care for patients with spine pain.

Keywords

spine pain

lumbar radiculopathy

common peroneal neuropathy

Morton's neuroma

diagnosis

treatment options

cauda equina syndrome

urinary urgency

neoplastic causes

follow-up care