Sciatica

Coexisting Lumbar Spondylosis in Patients Undergoing TKA

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 […]

Risk factors for first time incidence sciatica: a systematic review

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 […]

An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy

D. Scott Kreiner, MD The Spine Journal: Available online 16 November 2013: In Press Abstract Background context The objective of the North American Spine Society’s (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of lumbar […]

Recovery of motor deficit accompanying sciatica—subgroup analysis of a randomized controlled trial

Gijsbert M. Overdevest, MD The Spine Journal: Available online 5 November 2013: In Press Abstract Background context In patients with sciatica due to a lumbar disc herniation, it is generally recommended to reserve surgical treatment for those who suffer from intolerable pain or those who demonstrate persistent symptoms after conservative management. Controversy exists about the […]

Prognostic factors for return to work in patients with sciatica

December 1, 2013 Volume 13, Issue 12, Pages 1849–1857 Lars Grøvle, MD, PhD Abstract Background context Little is known about the prognostic factors for work-related outcomes of sciatica caused by disc herniation. Purpose To identify the prognostic factors for return to work (RTW) during a 2-year follow-up among sciatica patients referred to secondary care. Study […]

Few Physicians Follow Current Pain, Exercise Recommendations

Fewer than one third of physicians are following current recommendations and giving exercise advice to patients with osteoarthritis or sciatica….

Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial

Eur Spine J. 2013 Oct;22(10):2310-7. doi: 10.1007/s00586-013-2833-2. Epub 2013 May 30. Visser LH1, Woudenberg NP, de Bont J, van Eijs F, Verwer K, Jenniskens H, Den Oudsten BL. Abstract PURPOSE: The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back […]

Prognostic factors for return to work in patients with sciatica

Grøvle L, et al. Spine J. 2013 Sep 21. pii: S1529-9430(13)01268-0. doi: 10.1016/j.spinee.2013.07.433. [Epub ahead of print] Affiliation Department of Rheumatology, Østfold Hospital Trust, Postboks 16, 1603 Fredrikstad, Norway. Electronic address: lars.grovle@so-hf.no. Abstract BACKGROUND CONTEXT: Little is known about the prognostic factors for work-related outcomes of sciatica caused by disc herniation. PURPOSE: To identify the […]

Traction for low-back pain with or without sciatica

These findings indicate that traction, either alone or in combination with other treatments, has little or no impact on pain intensity, functional status, global improvement and return to work among people with LBP.

Comparative Clinical Effectiveness of Management Strategies for Sciatica

For the first time many different treatment strategies for sciatica have been compared in the same systematic review and meta-analysis…..

Piriformis syndrome: etiology, diagnosis, and management

Brief review: Piriformis syndrome: etiology, diagnosis, and management Jankovic D, et al. Can J Anaesth. 2013 Oct;60(10):1003-1012. Epub 2013 Jul 27. Abstract PURPOSE: In this narrative review, we aim to provide the pathophysiology and diagnostic criteria of the piriformis syndrome (PS), an underdiagnosed cause of buttock and leg pain that can be difficult to treat. […]

Diagnostic accuracy of the clinical examination in identifying the level of herniation in patients with sciatica

Hancock MJ, et al. Spine (Phila Pa 1976). 2011 May 15;36(11):E712-9. doi: 10.1097/BRS.0b013e3181ee7f78. Affiliation Faculty of Health Sciences, University of Sydney, Australia. Abstract STUDY DESIGN: Cross sectional OBJECTIVE: To investigate the ability of the neurological examination to identify the specific level of a disc herniation in patients with sciatica and confirmed disc herniation. SUMMARY OF […]

Role of Environmental Factors and History of Low Back Pain in Sciatica Symptoms Among Finnish Adolescents

Karjalainen, Ulla MD Spine 01 June 2013 Vol. 38 – Issue 13: p 1105–1111 Abstract Study Design. Cross-sectional study in a subcohort of the 1986 Northern Finland Birth Cohort (n = 1987). Objective. To investigate the role of environmental factors and LBP history in sciatica symptoms among Finnish young adults. Summary of Background Data. History […]

Sciatica-like symptoms and the sacroiliac joint: clinical features and differential diagnosis

Sciatica-like symptoms and the sacroiliac joint: clinical features and differential diagnosis Eur Spine J. 2013 Jul;22(7):1657-64. doi: 10.1007/s00586-013-2660-5. Epub 2013 Mar 2. Visser LH, Nijssen PG, Tijssen CC, van Middendorp JJ, Schieving J. Source Department of Neurology, St. Elisabeth Hospital, PO Box 90151, 5000 LC Tilburg, The Netherlands. l.visser@elisabeth.nl Abstract PURPOSE: To compare the clinical features […]

Inflammatory Mediators in Intervertebral Disk Degeneration and Discogenic Pain

Global Spine J 2013; 03(03): 175-184 Karin Wuertz Abstract Although degeneration of the intervertebral disk has historically been described as a misbalance between anabolic and catabolic factors, the role of inflammatory mediators has long been neglected. However, past research clearly indicates that inflammatory mediators such as interleukin (IL)-1β, IL-6, IL-8 and tumor necrosis factor-α are […]

Exercise May Be Beneficial for Patients With Chronic Severe Sciatica Who Would Normally Qualify for Surgery

Margareta C Nordin, Federico Balagué Evid Based Med. 2013;18(2):63-64. Abstract Commentary on: Albert HB, Manniche C. The efficacy of systematic active conservative treatment for patients with severe sciatica: a single-blind, randomized, clinical, controlled trial. Spine (Phila Pa 1976) 2012;37:531–42. Context The role of conservative treatment and exercise still remain uncertain for severe sciatica. Methods This […]

Epidural corticosteroid injections in the management of sciatica: a systematic review and meta-analysis

Ann Intern Med. 2012 Dec 18;157(12):865-77. Pinto RZ1, Maher CG, Ferreira ML, Hancock M, Oliveira VC, McLachlan AJ, Koes B, Ferreira PH. Abstract BACKGROUND: Existing guidelines and systematic reviews provide inconsistent recommendations on epidural corticosteroid injections for sciatica. Key limitations of existing reviews are the inclusion of trials with active controls of unknown efficacy and […]

Drugs for relief of pain in patients with sciatica

Systematic review and meta-analysis Rafael Zambelli Pinto, PhD student BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e497 (Published 13 February 2012) Cite this as: BMJ 2012;344:e497 Abstract Objective To investigate the efficacy and tolerability of analgesic and adjuvant pain drugs typically administered in primary care for the management of patients with sciatica. Design Systematic review. Data source International […]

Drugs for relief of pain in patients with sciatica

Systematic review and meta-analysis BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e497 (Published 13 February 2012) Cite this as: BMJ 2012;344:e497 Sciatica is considered to be a prognostic indicator of poor outcome among patients with low back pain. Furthermore a substantial proportion continuing to have persistent pain for two years or longer. General practitioners often prescribe pain-relieving drugs […]

Sciatic nerve injury induces functional pro-nociceptive chemokine receptors in bladder-associated primary afferent neurons in the rat

Foster R,et al. Neuroscience. 2011 Jun 2;183:230-7. doi: 10.1016/j.neuroscience.2011.03.035. Epub 2011 Mar 30. Affiliation Department of Urology, Loyola University Health System, Maywood, IL, USA. Abstract Visceral sensory afferents during disease or following injury often produce vague, diffuse body sensations, and pain referred to somatic targets. Alternatively, injury due to trauma or disease of somatic nerve […]