The Treatment of Sciatica

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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...

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Sciatica affects many people. The most important symptoms are radiating leg pain and related disabilities. Patients are commonly treated in primary care but a small proportion is referred to secondary care and may eventually have surgery. Many synonyms for sciatica appear in the literature, such as lumbosacral radicular syndrome, ischias, nerve root pain, andnerve root entrapment. In about 90% ...

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Conservative treatment of sciatica: a systematic review.

Most patients with sciatica (often caused by disc herniations) are managed conservatively at first. The natural course seems to be favorable. The additional value of many conservative therapies remains controversial. Because a systematic review of the conservative treatment of sciatica is lacking, such a review was carried out. After a standardized literature search and selection procedure, met...

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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...

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ژورنال

عنوان ژورنال: BMJ

سال: 1943

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.2.4328.773