A Systematic Review and Meta-analysis Vale, João MDa; Rocha, Eduardo MDb; Lemos, Carolina MD, PhDc,d; Valente, Cristina PhDe,f; Andrade, Renato BSce,f,g; Espregueira-Mendes, João MD, PhDe,f,h,i,,j; Rodrigues-Pinto, Ricardo MD, PhD, FEBOTa,c,k Spine 48(23):p E391-E400, December 1, 2023. | DOI: 10.1097/BRS.0000000000004801 Abstract Study Design. Systematic review and meta-analysis. Objective. Evaluate the role of systemic steroids in treating […]
An Abridged Cochrane Systematic Review and Meta-Analysis Oliveira, Crystian B. PhD SPINE: November 1, 2020 – Volume 45 – Issue 21 – p E1405-E1415 doi: 10.1097/BRS.0000000000003651 Study Design. Systematic with meta-analysis Objectives. The aim of this study was to investigate the efficacy and safety of epidural corticosteroid injections compared with placebo injection in reducing leg […]
From the YouTube Website: In this video Dr. Abelson demonstrates some of the Motion Specific Release (MSR) procedures we use to release the Sciatic Nerve. Symptoms of sciatica can be caused by disc herniation, foraminal stenosis, spinal stenosis, or entrapment of the sciatic nerve. Fortunately, most cases of Sciatica do NOT require Surgery, as long […]
From this article: Patients in the surgical group underwent standard microdiskectomy approaches. Nonsurgical care consisted of patient education, activity/exercise, oral analgesics, use of active physiotherapy provided at the discretion of physiotherapists not associated with the trial, and an epidural glucocorticoid injection administered by a fellowship-trained anesthesiologist. ~ Dr. Broussard -Single-center study shows superior pain relief […]
— But Canadian study may have important limitations by Judy George, Senior Staff Writer, MedPage Today March 18, 2020 Microdiscectomy produced better pain relief than standard nonsurgical care (see below) for patients with chronic sciatica caused by lumbar disk herniation, a single-center trial showed. Six months after surgery, leg-pain intensity scores were 2.8 in the surgical group […]
Pain Med. 2019 Nov 1;20(11):2303-2310. doi: 10.1093/pm/pnz167. Ziling Huang 1 2, Sixing Liu 3, Jing Zhou 1, Qin Yao 2, Zhishun Liu 1 Affiliations expand PMID: 31369674 DOI: 10.1093/pm/pnz167 Abstract Objective: To evaluate the efficacy and safety of acupuncture for discogenic sciatica. Design: Single-center, parallel, randomized controlled sham acupuncture trial. Methods: Twelve sessions of acupuncture […]
Journal of the American Academy of Orthopaedic Surgeons. SEPTEMBER 09, 2019 DOI: 10.5435/JAAOS-D-19-00174, PMID: 31517882 Publication Date: September 09, 2019 Joseph Maslak Abstract Objective: This study evaluates the disease burden of sciatica on the US Medicare cohort. Background Data: Sciatica is a common disability that has important physical, mental, and economic effects. The Medicare Health […]
Robert Goldsmith, Nefyn Howard Williams and Fiona Wood BJGP Open 6 August 2019; bjgpopen19X101654. DOI: https://doi.org/10.3399/bjgpopen19X101654 Abstract Background Several pathological processes contribute to lumbar radicular pain (LRP), commonly known as sciatica. It is not known how patients rationalise the experience of sciatica or understand the diagnosis. Providing clinicians with a better understanding of how patients […]
Articles by Dr. Brian Abelson DC who teaches Motion Specific Technique Sciatica – A Real Pain in the Butt – Part 1 Sciatica – A Real Pain in the Butt! – Part 2 Sciatica Solutions for a Real Pain in the Butt! – Part 3 Sciatica – Small Steps, Big Changes to a Pain in the […]
JAMA — Robertson K, et al. | January 15, 2019 Researchers investigated gabapentin (GBP) vs pregabalin (PGB) head to head for the treatment of chronic sciatica (CS). As per findings, both pregabalin and GBP were significantly efficacious. However, fewer and less severe adverse events noted with GBP support its superiority. They recommend initiating gabapentin before […]
October 8, 2018 LOS ANGELES — Results presented at the North American Spine Society Annual Meeting showed a small subgroup of patients with acute sciatica secondary to lumbar disc herniation may significantly benefit from chiropractic spinal manipulation therapy. Paul B. Bishop , MD, PhD, DC, and colleagues randomly assigned 40 patients with acute sciatica secondary […]
The Spine Journal Volume 18, Issue 9, September 2018, Pages 1715-1721 The Spine Journal Review Article Background Low back pain (LBP) is a highly prevalent condition and it is associated with significant disability and work absenteeism worldwide. A variety of environmental and individual characteristics have been reported to increase the risk of LBP. To our knowledge, […]
The Spine Journal June 2018 Volume 18, Issue 6, Pages 1030–1040 Kika Konstantinou, PhD Abstract Background Context Evidence is lacking on the prognosis and prognostic factors of back-related leg pain and sciatica in patients seeing their primary care physicians. This evidence could guide timely appropriate treatment and referral decisions. Purpose The present study aims to describe […]
Gynecol Minim Invasive Ther. 2018 Apr-Jun; 7(2): 81–85. Published online 2018 May 2. doi: 10.4103/GMIT.GMIT_24_18 PMCID: PMC6113996 PMID: 30254944 Tal D. Saar Abstract Endometriosis is a common gynecological condition which affects 5–10% of women of reproductive age and up to 50% of women with pelvic pain and infertility. The most commonly affected areas are the […]
From this article in the European Journal of Orthopaedic Surgery & Traumatology they found that these four symptoms: Buttock pain, pain aggravated on sitting, External tenderness near the greater sciatic notch Pain on any maneuver that increases piriformis muscle tension,and Limitation of straight leg raising were the most accurate tests that could indicate that you […]
Cochrane Database Syst Rev. 2016 Oct 15;10:CD012382. Rasmussen-Barr E1, Held U, Grooten WJ, Roelofs PD, Koes BW, van Tulder MW, Wertli MM. Abstract BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAIDs) are one of the most frequently prescribed drugs for the treatment of sciatica. A previous Cochrane review on the efficacy of NSAIDs summarised findings for acute and chronic low back pain (LBP) and sciatica. […]
European Journal of Pain Volume 20, Issue 10 November 2016 Pages 1700–1709 G.C. Machad First published: 12 May 2016 Abstract Background and objective The clinical course of patients with sciatica is believed to be favourable, but there is conflicting evidence on the postoperative course of this condition. We aimed to investigate the clinical course of […]
Complementary Therapies in Medicine Available online 15 February 2016 Highlights •1. Auricular acupuncture diagnosis (AAD): a helpful tool for every practitioner. •AAD is suitable for a complementary interpretation of somatic and mental disorders. •2. AAD in lumbar-sciatic pain associated to lumbar hernia. •Specific auricular areas allow the diagnosis of lumbar-sciatic pain in lumbar hernia. •3. […]
Pauline Anderson February 20, 2016 PALM SPRINGS, California — Epidural steroid injections cut medical spending by 16.4% in some patients with low back pain, a new study suggests. The award-winning research presented here at the American Academy of Pain Medicine (AAPM) 2016 Annual Meeting found that these injections, which have been shown to improve pain […]