Aetiology
Post radiation lumbosacral plexopathy is a rare complication of radiation therapy, caused by damage to the nerves in the lumbosacral plexus. It usually occurs in patients who have undergone radiation therapy to treat cancers of the abdomen, pelvis, and lower limbs.
Diagnosis
Diagnosis of post radiation lumbosacral plexopathy is based on the patient’s medical history, physical exam, and imaging studies. It is important to rule out other causes of nerve damage, such as trauma, infection, and systemic diseases.
Differential diagnosis
Differential diagnosis of post radiation lumbosacral plexopathy includes other causes of nerve damage, such as trauma, infection, and systemic diseases.
Treatment
Treatment for post radiation lumbosacral plexopathy includes physical therapy, steroid injections, and surgery to decompress the affected nerve roots. Non-steroidal anti-inflammatory drugs (NSAIDs) may also be used to reduce inflammation and pain.
Prognosis
Prognosis of post radiation lumbosacral plexopathy is generally good. The prognosis is dependent on the extent of damage to the nerve roots, the severity of the symptoms, and the patient’s response to treatment. Most patients experience an improvement in their symptoms with treatment, although some may require long-term management.