Template:Somatic Referred vs Radicular Pain: Difference between revisions

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!Somatic Referred
!Somatic Referred
!Radicular
!Radicular
|-
|Buttock or proximal thigh pain
|Common
|Travels distally to the lower limb but can also be felt in the buttock
|-
|Pain distal to the knee
|Can occur but less characteristic
|Can occur and is more characteristic
|-
|-
|Pain quality
|Pain quality
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|-
|-
|Distribution
|Distribution
|Fixed in location. It can feel like an expanding pressure into the lower limb, but remains in location once established without traveling. It can wax and one, but does so in the same location. Distributed in a wide area, with difficult to perceive boundaries. The centres in contrast can be confidently indicated.
|Fixed in location, commonly in the buttock or proximal thigh. Pain distal to the knee can occur but is less characteristic. It can feel like an expanding pressure into the lower limb, but remains in location once established without traveling. It can wax and one, but does so in the same location. Distributed in a wide area, with difficult to perceive boundaries. The centres in contrast can be confidently indicated.
|Travels along a narrow band, no more than 2 inches wide
|Travels along a narrow band into the lower limb, often distal to the knee, no more than 2 inches wide
|-
|-
|Neurological features
|Neurological features

Revision as of 19:48, 29 August 2021

Somatic Referred vs Radicular Pain[1]
Somatic Referred Radicular
Pain quality Dull, deep ache, or pressure-like Shooting, lancinating, or electric
Distribution Fixed in location, commonly in the buttock or proximal thigh. Pain distal to the knee can occur but is less characteristic. It can feel like an expanding pressure into the lower limb, but remains in location once established without traveling. It can wax and one, but does so in the same location. Distributed in a wide area, with difficult to perceive boundaries. The centres in contrast can be confidently indicated. Travels along a narrow band into the lower limb, often distal to the knee, no more than 2 inches wide
Neurological features Not characteristic Not required but favours radicular pain
  1. Bogduk et al. Medical Management of Acute and Chronic Low Back Pain: An Evidence Based Approach. Elsevier Science. 2002