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Pain on Coughing and Numbness in Sciatica: What Exactly Do These Symptoms Mean?

Pain on Coughing and Numbness in Sciatica: What Exactly Do These Symptoms Mean? Abstract To the Editor.—In sciatica, pain on coughing and segmental numbness are generally known symptoms. They are often mentioned in the literature, but their nature and clinical meaning have never been exactly defined. The new approach to the study of clinical findings in relation to disk changes, by lumbar diskography in our material,1,21,2 has not been generally noticed and understood, and it is significant that 22 book reviews on the monograph,2 in various journals, comment on the morphologic diagnosis but not on the analysis of the clinical findings. Pain on coughing is found in disk rupture, the gelatinous contents of the nucleus pulposus being squeezed out of the disk to spread around the nerve root where they cause aseptic inflammation; it appears about one week after onset of the complaints. Numbness, however, is found in nerve compression, when a nonruptured disk exerts pressure to the root (these patients References 1. Walk L: Diagnostic lumbar disk puncture: Clinical review and analysis of 67 cases . Arch Surg 1953;66:232-243.Crossref 2. Walk L. Lumbar Diskography and Its Clinical Evaluation . Springfield, Ill: Charles C. Thomas Publishers; 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Pain on Coughing and Numbness in Sciatica: What Exactly Do These Symptoms Mean?

Archives of Surgery , Volume 124 (6) – Jun 1, 1989

Pain on Coughing and Numbness in Sciatica: What Exactly Do These Symptoms Mean?

Abstract

Abstract To the Editor.—In sciatica, pain on coughing and segmental numbness are generally known symptoms. They are often mentioned in the literature, but their nature and clinical meaning have never been exactly defined. The new approach to the study of clinical findings in relation to disk changes, by lumbar diskography in our material,1,21,2 has not been generally noticed and understood, and it is significant that 22 book reviews on the monograph,2 in various journals, comment on the...
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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1989.01410060123028
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—In sciatica, pain on coughing and segmental numbness are generally known symptoms. They are often mentioned in the literature, but their nature and clinical meaning have never been exactly defined. The new approach to the study of clinical findings in relation to disk changes, by lumbar diskography in our material,1,21,2 has not been generally noticed and understood, and it is significant that 22 book reviews on the monograph,2 in various journals, comment on the morphologic diagnosis but not on the analysis of the clinical findings. Pain on coughing is found in disk rupture, the gelatinous contents of the nucleus pulposus being squeezed out of the disk to spread around the nerve root where they cause aseptic inflammation; it appears about one week after onset of the complaints. Numbness, however, is found in nerve compression, when a nonruptured disk exerts pressure to the root (these patients References 1. Walk L: Diagnostic lumbar disk puncture: Clinical review and analysis of 67 cases . Arch Surg 1953;66:232-243.Crossref 2. Walk L. Lumbar Diskography and Its Clinical Evaluation . Springfield, Ill: Charles C. Thomas Publishers; 1962.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1989

References