The Spine Journal Volume 16, Issue 2, February 2016, Pages 243–251 Pablo Andrade, MD, PhD Abstract Background Context Sciatica is a condition characterized by radicular pain that can be secondary to a lumbar disc herniation (LDH). More than 10% of patients report persistent pain after surgery. The underlying mechanisms of postoperative sciatica remain unclear. There […]
Evidence-based Complementary and Alternative Medicine , 09/23/2015 Ji M, et al. This study aims to assess the effectiveness of acupuncture therapy for sciatica. Acupuncture may be effective in treating the pain associated with sciatica. Methods Comprehensive searches of 8 databases were conducted up until April 2015. Outcomes included effectiveness (proportion of patients who improved totally […]
A Systematic Review and Meta-analysis Fernandez, Matt MChiro*; Hartvigsen, Jan PhD†; Ferreira, Manuela L. PhD‡,§; Refshauge, Kathryn M. PhD*; Machado, Aryane F. BPT*; Lemes, Ítalo R. BPT*; Maher, Chris G. PhD‡; Ferreira, Paulo H. PhD* Spine 40(18):p 1457-1466, September 15, 2015. | DOI: 10.1097/BRS.0000000000001036 Study Design. A systematic review and meta-analysis. Objective. To evaluate the […]
Spine (Phila Pa 1976). 2015 Sep 15;40(18):1457-66. doi: 10.1097/BRS.0000000000001036. Fernandez M Abstract STUDY DESIGN: A systematic review and meta-analysis. OBJECTIVE: To evaluate the evidence on comparative effectiveness of advice to stay active versus supervised structured exercise in the management of sciatica. SUMMARY OF BACKGROUND DATA: Conservative management of sciatica usually includes interventions to promote physical […]
Hal David Martin Manoj Reddy Juan Gómez-Hoyos Journal of Hip Preservation Surgery, Volume 2, Issue 2, 1 July 2015, Pages 99–107, https://doi.org/10.1093/jhps/hnv029 Published: 06 June 2015 Abstract Deep gluteal syndrome describes the presence of pain in the buttock caused from non-discogenic and extrapelvic entrapment of the sciatic nerve. Several structures can be involved in sciatic […]
Eur J Radiol. 2015 Apr; 84(4):690-5. doi: 10.1016/j.ejrad.2015.01.006. Epub 2015 Jan 17. Yin Shi PMID: 25631881 DOI: 10.1016/j.ejrad.2015.01.006 Abstract Objective: To quantitatively evaluate nerve roots by measuring fractional anisotropy (FA) values in healthy volunteers and sciatica patients, visualize nerve roots by tractography, and compare the diagnostic efficacy between conventional magnetic resonance imaging (MRI) and DTI. […]
Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations Valter Santilli, MD The Spine Journal March–April, 2006 Volume 6, Issue 2, Pages 131–137 Abstract Background context Acute back pain and sciatica are major sources of disability. Many medical interventions […]
Ann Intern Med. 2014;161(6):I-15. doi:10.7326/P14-9031 What is the problem and what is known about it so far? Back-related leg pain (BRLP), such as sciatica, is often disabling and causes more work loss, medication use, and health-related costs than uncomplicated low back pain. Nonpharmacologic interventions, including spinal manipulation, exercise, and education promoting self-management, are increasingly recommended as […]
16 September 2014 Spinal Manipulation and Home Exercise With Advice for Subacute and Chronic Back-Related Leg Pain: A Trial With Adaptive Allocation Gert Bronfort, DC, PhD Background: Back-related leg pain (BRLP) is often disabling and costly, and there is a paucity of research to guide its management. Objective: To determine whether spinal manipulative therapy (SMT) […]
Troy Brown, RN September 16, 2014 In patients with back-related leg pain (BRLP), spinal manipulative therapy (SMT) plus home exercise and advice (HEA) provided more short-term improvement in pain and function than HEA alone, according to a recent study. Gert Bronfort, DC, PhD, from the Center for Spirituality & Healing, University of Minnesota, Minneapolis, and […]
by Shara Yurkiewicz, Staff Writer, MedPage Today 2014-09-15 Action Points Note that this randomized trial comparing spinal manipulation plus home exercise and advice with home exercise and advice alone in patients with back-related leg pain found that the spinal manipulation arm had significantly better pain scores at 12 weeks. Be aware that the study was […]
European Spine Journal September 2014, Volume 23, Issue 9, pp 1869-1877 Date: 20 Jun 2014 Significance of cartilage endplate within herniated disc tissue Polly Lama Abstract Purpose Disc herniations sometimes contain hyaline cartilage fragments, but their origins and significance are uncertain. Methods Herniations were removed surgically from 21 patients (aged 35–74 years) whose main symptom […]
Retrospective analysis of data from the longitudinal assessment of imaging and disability of the back (LAIDBACK) BMC Musculoskeletal Disorders, 05/13/2014 Evidence Based Medicine Clinical Article Suri P, et al. – There are few longitudinal cohort studies examining associations between incident MRI findings and incident spine–related symptom outcomes. Prior studies do not discriminate between the two distinct outcomes […]
Indian Journal of Orthopedic Surgery Year : 2014 | Volume : 48 | Issue : 2 | Page : 127-135 Ashutosh B Sabnis, Ashish D Diwan Abstract Herniation of nucleus pulposus leading to leg pain is the commonest indication for lumbar spine surgery. However, there is no consensus when to stop conservative treatment and when […]
Truumees E. Clin Orthop Relat Res. 2014 Apr 22. [Epub ahead of print] Abstract In ancient times, a supernatural understanding of the syndrome of lumbar radiculopathy often involved demonic forces vexing the individual with often crippling pain. The ancient Greeks and Egyptians began to take a more naturalistic view and, critically, suspected a relationship between […]
Randomized controlled trial el Barzouhi A, et al. PLoS One. 2014. PLoS One. 2014 Mar 17;9(3):e90800. doi: 10.1371/journal.pone.0090800. eCollection 2014. Abstract BACKGROUND: Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI) findings between sciatica patients with and without disabling back […]
Spine: 15 December 2013 – Volume 38 – Issue 26 – p E1691–E1700 Identification of Risk Factors for New-Onset Sciatica in Japanese Workers: Findings From the Japan Epidemiological Research of Occupation-Related Back Pain Study Matsudaira, Ko MD, PhD Collapse BoxAbstract Study Design. Two-year, prospective cohort data collected for the Japan epidemiological research of Occupation-related Back […]
Spine: 15 December 2013 – Volume 38 – Issue 26 – p E1701–E1703 doi: 10.1097/BRS.0000000000000024 Yang, Guang MD Abstract Study Design. Case report. Objective. We report a rare case that a ganglion cyst compressed the sciatic nerve and caused sciatica and claudication in a 51-year-old male. Summary of Background Data. Sciatica and claudication commonly occurs […]
How Common and How Serious? Chang, CB Clinical orthopaedics and related research : 2013 Sep 25 pg CONCLUSIONS Radiographic lumbar spine degeneration and lumbar spine symptoms are common among patients with advanced knee OA undergoing TKA. Severe lumbar spine symptoms (visual analog scale score of ≥ 7) were likely to adversely affect the preoperative clinical […]
Physiother Res Int. 2014 Jun;19(2):65-78. doi: 10.1002/pri.1572. Epub 2013 Dec 11. Cook CE, Taylor J, Wright A, Milosavljevic S, Goode A, Whitford M. Abstract BACKGROUND AND PURPOSE: Characteristically, sciatica involves radiating leg pain that follows a dermatomal pattern along the distribution of the sciatic nerve. To our knowledge, there are no studies that have investigated […]