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In an idiopathic brachial plexopathy, no specific treatment is usually indicated, although there is limited evidence that steroids may hasten recovery. [7] [8] If a brachial or lumbosacral plexopathy is determined to be caused by diabetes, management includes controlling the patient's blood sugar. [9]
Radiation-induced lumbar plexopathy (RILP) or radiation-induced lumbosacral plexopathy (RILSP) is nerve damage in the pelvis and lower spine area caused by therapeutic radiation treatments. RILP is a rare side effect of external beam radiation therapy [ 1 ] [ 2 ] [ 3 ] and both interstitial and intracavity brachytherapy radiation implants.
Patients with diabetes and proximal (hip, thigh) pain and weakness may be suspected of having diabetic amyotrophy. More definitive diagnosis can be made with electrodiagnostic studies including nerve conduction studies (NCS) and electromyography (EMG). [ 5 ]
In acute injury resulting in lumbosacral radiculopathy, conservative treatment such as acetaminophen and NSAIDs should be the first line of therapy. [1] Therapeutic exercises are frequently used in combination with many of the previously mentioned modalities and with great results. A variety of exercise regimens are available in patient treatment.
Clinical examination and patient history [2] Differential diagnosis: Lumbar L2/L3 pathology, lumbar plexopathy, another entrapped peripheral nerve, and pelvic tumors [3] [4] Treatment: Steroid injections, nerve decompression, and neurectomy [3]
Radiation protection of patients; Radiation therapy; Radiation-induced cancer; Radiation-induced lumbar plexopathy; Radiation-induced lung injury; Radiation-induced thyroiditis; Radioactivity in the life sciences; Radiobiology evidence for protons and HZE nuclei; Radioresistance; Radiosensitivity; Health effects of radon; Relative biological ...