Lumbosacral Discogenic Pain Syndrome Clinical Presentation

Updated: Nov 23, 2021
  • Author: Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM; Chief Editor: Craig C Young, MD  more...
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The history and physical examination findings of the athlete and nonathlete with discogenic or radiculopathic pain are similar.

  • Discogenic pain typically increases with sitting, flexion, coughing, sneezing, or activities that increase intradiscal pressure.

  • Common features of radiculopathy are leg pain in a dermatomal distribution, exacerbation of pain with a sitting position, and amelioration of pain during standing or ambulation. It is typically a flexion, rotation, or combined flexion-rotation injury. [7]


Physical Examination

Physical examination does not yield significant information when dealing with internal disc derangement. Physical examination of the lumbar spine evaluating for discogenic pain should focus on a mechanical and neurologic examination in an attempt to identify the likely source of back pain (ie, mechanical, neurologic, or discogenic).