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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CLINICAL REVIEW Diagnosis and treatment of sciatica

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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Surgery versus prolonged conservative treatment for sciatica.

BACKGROUND Lumbar-disk surgery often is performed in patients who have sciatica that does not resolve within 6 weeks, but the optimal timing of surgery is not known. METHODS We randomly assigned 283 patients who had had severe sciatica for 6 to 12 weeks to early surgery or to prolonged conservative treatment with surgery if needed. The primary outcomes were the score on the Roland Disability ...

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ژورنال

عنوان ژورنال: The Journal of Nervous and Mental Disease

سال: 1893

ISSN: 0022-3018

DOI: 10.1097/00005053-189305000-00025