We describe a case report of a man aged 56 years with a 4-month history of right-sided sciatica-type pain with subclinical disc prolapse evident on MRI. Worsening pain together with the appearance of a tender mass in his right buttock prompted further imaging, which demonstrated an infiltrative mass engulfing the lumbosacral plexus. This was later shown to be a granulocytic sarcoma on biopsy. I...

OBJECTIVE To determine the effectiveness and predictors of response to lumbar epidural corticosteroid injections (ESI) in patients with sciatica. We performed a 12-month, multicentre, double-blind, randomized, placebo-controlled, parallel-group trial in four secondary pain-care clinics in the Wessex Region. METHODS Two hundred and twenty-eight patients with a clinical diagnosis of unilateral ...

Received: June 05, 2017; Accepted: June 22, 2017; Published: June 23, 2017 Sciatica is one of the most common disorders affecting the peripheral nervous system, 90% of which is associated with a herniated disc and nerve compression. Vast majority of sciatica patients experience a favorable prognosis, with only ~30% experiencing a reoccurrence within their lifetime. Patients often present with u...

The objective of this retrospective cross-sectional study was to estimate the 6-month prevalence and severity of low back pain and sciatica in a representative sample of an adult Mediterranean population. The study group comprised a sample of 674 adults aged 20 years or older from a mainly (74.8%) urban population. Information regarding low back pain and sciatica prevalence and severity and its...

Low back pain is a very common health issue treated in primary care and carries varying definitions. The European Guidelines for Prevention of Back Pain characterizes it as “pain discomfort, localized below the costal margin above inferior gluteal folds, with or without leg (sciatica)”, whereas S. Kinkade defines that occurs posteriorly region between lower rib proximal thighs&rdquo...

Backache, with or without sciatica nerve or femoral involvement, affects 90% of the population at least once in their lives and is one of the major causes of working days lost in the western world . Until 15 years ago surgery was the treatment of choice. Nowadays the trend is to adopt conservative treatments given the many limitations of surgery in terms of short and long-term pain resolution ....

Low back pain is the leading cause of long term disability worldwide. The lifetime incidence of low back pain is 58-84%, and 11% of men and 16% of women have chronic low back pain. Back pain accounts for 7% of GP consultations and results in the loss of 4.1 million working days a year. More than 30% of people still have clinically significant symptoms after a year after onset of sciatica. This ...

BACKGROUND Transforaminal epidural injections with steroids (TESI) are used increasingly for patients with sciatica. However there is much debate about their safety and effectiveness. It is important to identify patients that benefit most from TESI and only few trials have yet evaluated the effects in patients with acute sciatica. METHODS We describe a prospective, randomized controlled trial...

Mixter and Barr in 1934 first described the herniated disc to be a cause of segmental leg pain (sciatica or femoralgia). Acute low back pain is a relatively common condition and is accompanied by sciatica in only 1–2% of cases. Patients presenting with acute low back pain alone are therefore unlikely to have a disc prolapse. Lumbar intervertebral disc prolapse is most prevalent between the ages...