Lumbarsciatic pain

Sectors 17-21, on the right of Figure 7.3, show a significantly higher concentration of tender points which is the sum of two main clusters: one

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Fig. 7.3 Cluster of points with low ESR in 30 patients with lumbar-sciatic pain on the left; cluster offender points with PPT of the same patients on the right. The colored sectors correspond to a significantly higher concentration of points, respectively, for ESRT vs. PPT on the left side or for PPT vs. ESRT on the right side of the figure. Colored areas = lateral surface; blank areas = medial surface.

Fig. 7.3 Cluster of points with low ESR in 30 patients with lumbar-sciatic pain on the left; cluster offender points with PPT of the same patients on the right. The colored sectors correspond to a significantly higher concentration of points, respectively, for ESRT vs. PPT on the left side or for PPT vs. ESRT on the right side of the figure. Colored areas = lateral surface; blank areas = medial surface.

corresponds roughly to both Nogier's and the Chinese representation of lumbosacral vertebrae; the other is aligned on the helix and presumably represents the neuropathic part of lumbar-sciatic pain. It is interesting to note that the first cluster shows an overlapping of tender points of the lateral and medial surface: the former presumably represents the rate of pain related to structures of the spine such as ligaments, articular facets etc., whereas the latter may represent the muscular contracture of the lumbar muscles accompanying the sciatic pain.

As regards ESRT we can find, on the left of Figure 7.3, a significantly larger colon area compared to PPT. This seems to be a recurrent nonspecific phenomenon, possibly related to the technique itself. Also the significantly larger cluster of points in the pituitary-adrenal area (sectors 1 and 40) are characteristic of ESRT and could indicate that this technique is more efficient for identifying function-related points than PPT.

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