Review scope Included studies compared epidural corticosteroid injections with placebo (administration of an inert or innocuous substance into the epidural space or adjacent spinal tissue) in patients with sciatica. Studies had to report ≥ 1 of overall pain intensity, leg pain intensity, back pain intensity, or disability status. Corticosteroids could be delivered into the epidural space by any...

in a retrospective study the clinical presentations, neurological findings, contrast studies, operative findings, and the follow-up results of 314 patients with disc herniation were studied over a 10-year period. this disease was most frequent between the ages of 30 to 40 and mostly in males. low back pain with or without radicular pain was the most frequent symptom, involving the left leg in t...

The causes of sciatica are variable and include musculoskeletal, dermatologic, infectious, neoplastic, and vascular disorders. In many cases, the symptom is usually caused by degenerative disease in the spine with the compression or irritation of spinal nerve. On the other hands, there are also several announced extra-spinal causes including aneurysm, diabetes, and radiation for sciatica in a l...

Objective: Sciatica and the disability that results from it are important issues among older patients. This case study illustrates the potential application of laser acupuncture for sciatica. Clinical features: A 55-year-old woman complained of pain in the left buttock radiating to foot. The patient visited the emergency department and orthopedic clinic for initial treatment which was ineffecti...

BACKGROUND Sciatica is a common condition worldwide that is characterized by radiating leg pain and regularly caused by a herniated disc with nerve root compression. Sciatica patients with persisting leg pain after six to eight weeks were found to have similar clinical outcomes and associated costs after prolonged conservative treatment or surgery at one year follow-up. Guidelines recommend tha...

BACKGROUND Few studies have investigated prognostic factors for patients with sciatica, especially for patients treated without surgery. The aim of this study was to identify factors associated with non-success after 1 and 2 years of follow-up and to test the prognostic value of surgical treatment for sciatica. METHODS The study was a prospective multicentre observational study including 466 ...

Low back pain and sciatica have been considered as the common morbidities of human kind throughout the history. The explanation of the etiology has been changed during the centuries and still remains a dilemma. Reviewing ancient theories may lead to novel findings about the etiology and its better treatments. First writings about sciatica: among available iranian traditional medicine (ITM) book...

HAS THERE BEEN PROGRESS IN THE PHYSIOPATHOLOGY OF DISC HERNIATION ASSOCIATED RADICULOPATHY? Since 1934, when a link was demonstrated between disc herniation and sciatica, it has been accepted that compression of the nerve root by disc herniation explained the sciatica. Surgical treatment therefore became standard when medical treatment failed. It now seems that ‘‘chemical’’ factors have a centr...

Sciatica is defined as pain in the sciatic nerve distribution. The most common reason of sciatica is radiculopathy due to lumbar disc hernia. Other causes can be congenital, acquired, infectious, neoplastic, or inflammatory. The piriformis syndrome is another cause. The pain starts in an insidious manner when the cause of sciatica is an extraspinal tumor. It is intermittent at first but a const...

BACKGROUND The Dutch multidisciplinary sciatica guideline recommends that the team of professionals involved in sciatica care and the patient together decide on surgical or prolonged conservative treatment (shared decision making [SDM]). Despite this recommendation, SDM is not yet integrated in sciatica care. Existing literature concerning barriers and facilitators to SDM implementation mainly ...