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Physiotherapy Screening for Referral of a Patient with Peripheral Arterial Disease Masquerading as Sciatica: A Case Report

Many causes potentially underline pain in the lower extremities, presenting a real challenge for primary care clinicians in the recognition of the source of the patient’s complaints. Peripheral arterial disease (PAD) is defined as a total or partial blockage of the vessels that supply blood from the...

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Autores principales: Feller, Daniel, Giudice, Andrea, Maritati, Giorgio, Maselli, Filippo, Rossettini, Giacomo, Meroni, Roberto, Lullo, Graziana, Hutting, Nathan, Mourad, Firas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10252713/
https://www.ncbi.nlm.nih.gov/pubmed/37297667
http://dx.doi.org/10.3390/healthcare11111527
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author Feller, Daniel
Giudice, Andrea
Maritati, Giorgio
Maselli, Filippo
Rossettini, Giacomo
Meroni, Roberto
Lullo, Graziana
Hutting, Nathan
Mourad, Firas
author_facet Feller, Daniel
Giudice, Andrea
Maritati, Giorgio
Maselli, Filippo
Rossettini, Giacomo
Meroni, Roberto
Lullo, Graziana
Hutting, Nathan
Mourad, Firas
author_sort Feller, Daniel
collection PubMed
description Many causes potentially underline pain in the lower extremities, presenting a real challenge for primary care clinicians in the recognition of the source of the patient’s complaints. Peripheral arterial disease (PAD) is defined as a total or partial blockage of the vessels that supply blood from the heart to the periphery. PAD of the lower extremities may masquerade as lumbosacral radiculopathy (LSR)—a common source of leg pain. Physiotherapists should be able to screen for PAD in people presenting with pain in the lower extremities. Failure to correctly screen for PAD could put the patient at risk of severe disability and possible permanent sequelae. This case report outlines the relevant concepts relating to the pathophysiology, screening, and differential diagnosis of PAD, and then further describes the relevant findings from the history and physical examination from the physiotherapist’s perspective in a patient with an unusual symptom presentation. Although the patient was referred by a physician with a diagnosis of LSR, our case highlights the pivotal role of skilled physiotherapists in triaging a severe lower-limb PAD in need of referral. Therefore, this case report aims to increase clinicians’ awareness of the clinical features of a complex case of PAD.
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spelling pubmed-102527132023-06-10 Physiotherapy Screening for Referral of a Patient with Peripheral Arterial Disease Masquerading as Sciatica: A Case Report Feller, Daniel Giudice, Andrea Maritati, Giorgio Maselli, Filippo Rossettini, Giacomo Meroni, Roberto Lullo, Graziana Hutting, Nathan Mourad, Firas Healthcare (Basel) Case Report Many causes potentially underline pain in the lower extremities, presenting a real challenge for primary care clinicians in the recognition of the source of the patient’s complaints. Peripheral arterial disease (PAD) is defined as a total or partial blockage of the vessels that supply blood from the heart to the periphery. PAD of the lower extremities may masquerade as lumbosacral radiculopathy (LSR)—a common source of leg pain. Physiotherapists should be able to screen for PAD in people presenting with pain in the lower extremities. Failure to correctly screen for PAD could put the patient at risk of severe disability and possible permanent sequelae. This case report outlines the relevant concepts relating to the pathophysiology, screening, and differential diagnosis of PAD, and then further describes the relevant findings from the history and physical examination from the physiotherapist’s perspective in a patient with an unusual symptom presentation. Although the patient was referred by a physician with a diagnosis of LSR, our case highlights the pivotal role of skilled physiotherapists in triaging a severe lower-limb PAD in need of referral. Therefore, this case report aims to increase clinicians’ awareness of the clinical features of a complex case of PAD. MDPI 2023-05-24 /pmc/articles/PMC10252713/ /pubmed/37297667 http://dx.doi.org/10.3390/healthcare11111527 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Feller, Daniel
Giudice, Andrea
Maritati, Giorgio
Maselli, Filippo
Rossettini, Giacomo
Meroni, Roberto
Lullo, Graziana
Hutting, Nathan
Mourad, Firas
Physiotherapy Screening for Referral of a Patient with Peripheral Arterial Disease Masquerading as Sciatica: A Case Report
title Physiotherapy Screening for Referral of a Patient with Peripheral Arterial Disease Masquerading as Sciatica: A Case Report
title_full Physiotherapy Screening for Referral of a Patient with Peripheral Arterial Disease Masquerading as Sciatica: A Case Report
title_fullStr Physiotherapy Screening for Referral of a Patient with Peripheral Arterial Disease Masquerading as Sciatica: A Case Report
title_full_unstemmed Physiotherapy Screening for Referral of a Patient with Peripheral Arterial Disease Masquerading as Sciatica: A Case Report
title_short Physiotherapy Screening for Referral of a Patient with Peripheral Arterial Disease Masquerading as Sciatica: A Case Report
title_sort physiotherapy screening for referral of a patient with peripheral arterial disease masquerading as sciatica: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10252713/
https://www.ncbi.nlm.nih.gov/pubmed/37297667
http://dx.doi.org/10.3390/healthcare11111527
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