The Conservative Treatment of Sciatica

doi:10.1097/00007632-198401000-00012

Paper

The Conservative Treatment of Sciatica

Published Jan 1, 1984 · G. Bell, R. Rothman

Spine

Q1 SJR score

57

Citations

0

Influential Citations

Full text Semantic Scholar

Abstract

The mainstay of rational treatment of acute sciatica involves bed rest and antiinflammatory drugs. The authors recommended 2 weeks of complete bed rest with progressive gradual mobilization over the next 7-10 days. Buffered aspirin In a dosage of 10-15 grains every 4 hours is prescribed both for its analgesic effect as well as for its antiinflammatory properties. Through the low-back school, the patient is instructed in low-back hygiene. Physically capable patients are encouraged to begin an aerobic excercise program. In the absence of absolute indications for surgery (cauda equina syndrome or marked progressive muscle weakness) it seems reasonable to permit up to 3 months of conservative therapy before recommending surgery.

Study Snapshot

Key takeawayBed rest and antiinflammatory drugs are the mainstay of conservative treatment for acute sciatica, with up to 3 months of conservative therapy before recommending surgery.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

Sign up to use Study Snapshot

Consensus is limited without an account. Create an account or sign in to get more searches and use the Study Snapshot.

Create an account

Paper

The Conservative Treatment of Sciatica

Sign up to use Study Snapshot

References

Citations

Efficacy of naproxen in patients with sciatica: multicentre, randomized, double-blind, placebo-controlled trial.

Naproxen showed small, likely clinically unimportant benefits compared to placebo in patients with moderate-to-severe sciatica.

Effects of Neurodynamics Along With Conventional Exercises on Sciatica Patients: A Single-Blinded Randomized Clinical Trial

Neurodynamics combined with conventional exercises can effectively reduce pain, improve muscle activation, and enhance patient health-related quality of life in sciatica patients.

Effectiveness of Piriformis Stretching and Intermittent Lumbar Traction along with Spinal Extension Exercises in Lumbar Disc Herniation: Comparative Study

Piriformis Stretching along with Spinal Extension Exercises significantly reduces pain and disability in patients with lumbar disc herniation, improving their ability to carry out daily functions.

What types of degenerative lumbar pathologies respond to nerve root injection? A retrospective review of six hundred and forty one cases

Peri-radicular injection successfully treats 51.7 percent of degenerative lumbar pathologies, but its effectiveness is limited in cases of herniated disc with spinal stenosis, foraminal disc herniation, recurrent disc herniation, and failed back surgery with instability.

[Natural history of lumbar disc hernias: does gadolinium enhancement have any prognostic value?].

A high percentage of disc hernias disappear within one year, with a significant association between extrusion and disappearance, but no correlation between gadolinium enhancement pattern and hernia disappearance.

Surgical treatment and outcomes of lumbar radiculopathy.

Surgery is effective for treating lumbar disk herniation in the short term, but long-term results are unclear.