Sciatica and its Surgical Treatment

Surgical treatment of discogenic sciatica.

The evaluation of physical, psychological, social, and occupational factors are recommended in patients with discogenic sciatica. Surgical discectomy may be considered in selected patients with sciatica due to lumbar disc herniations that fail to resolve with conservative management for at least 6-8 weeks, or in patients with cauda equina syndrome. An appropriate pre-operative work up including...

The Epidural Treatment of Sciatica: Its Origin and Evolution.

Epidural injection with corticosteroids is a common treatment option for patients with lower back pain or sciatica. In this paper we review its origin and evolution. The first injections were given around 1900 in Paris by Jean Sicard (1872-1929) and Fernand Cathelin (1873-1945), who worked independently. They both injected small volumes of cocaine into the sacral hiatus. After a slow start, the...

The Epidural Treatment of Sciatica: Its Origin and Evolution

Epidural injection with corticosteroids is a common treatment option for patients with lower back pain or sciatica. In this paper we review its origin and evolution. The first injections were given around 1900 in Paris by Jean Sicard (1872– 1929) and Fernand Cathelin (1873–1945), who worked independently. They both injected small volumes of cocaine into the sacral hiatus. After a slow start, th...

Sciatica and Its Treatment by Saline Injections Round the Nerve

Sciatica, with particular reference to its causes and treatment.