The mundane malady sciatica has been known to physicians since antiquity.1 It is pain that radiates from the buttock downward along the course of the sciatic nerve,2 but the term has been used indiscriminately for a variety of back and leg symptoms. Although sciatica has several causes, Mixter and Barr extended previous observations to establish in 1934 that the principal source is compression ...

OBJECTIVE To report our experience with endopelvic causes for sacral radiculopathies and sciatica. DESIGN Prospective cohort study. SETTING Tertiary referral advanced laparoscopic gynecology and neuropelveologic unit. PATIENT(S) Two hundred thirteen women who underwent laparoscopic management of sacral radiculopathy (sciatica, pudendal, gluteal pain) of unknown genesis in the period betwe...

This report aimed to present successfully treated cases of lumbar spinal stenosis coexisting with mild segmental instability and vertebral body fracture. Two patients presented chief complaints sciatica back pain that had lasted for 2 months. Preoperative images revealed compression Interspinous ligamentoplasty was done under general anesthesia. Treatment outcomes were assessed by numeric ratin...

Caudal epidural steroid injection is a very common intervention in treatment of low back pain and sciatica symptoms. Although extensively used, it is not devoid of complications. A few reports of chemical and infective arachnoiditis exist following lumbar epidural anaesthesia, but none following a caudal epidural steroid injection.We report a case of arachnoiditis following caudal epidural ster...

BACKGROUND Around 90% of sciatica cases are due to a herniated intervertebral disc in the lumbar region. Ankle acupuncture (AA) has been reported to be effective in the treatment of acute nonspecific low back pain. This study aims to evaluate the efficacy of a single session of ankle acupuncture for disc-related sciatica. METHOD This will be a double-blinded, randomized controlled clinical tr...

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...

BACKGROUND Patients with unilateral sciatica have heightened responses to intradermal capsaicin compared to pain-free volunteers. No studies have investigated whether this pain model can screen for novel anti-neuropathic agents in patients with pre-existing neuropathic pain syndromes. AIM This study compared the effects of pregabalin (300 mg) and the tetracycline antibiotic and glial attenuat...

The principle etiology of leg pain (sciatica) from lumbar disc herniation is mechanical compression of the nerve root. Sciatica is reduced by decompression of the herniated disc, i.e., removing mechanical compression of the nerve root. Decompression surgery typically reduces sciatica more than lumbar back pain (LBP). Decompression surgery reduces mechanical compression of the nerve root. Howeve...