Sciatica
2009-08-19T20:05:58Z
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Sciatica
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2009-08-19T20:05:58Z
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Abstract
Low-back pain is a very common complaint encountered
in the primary care setting. It is not unusual for patient’s to
report pain or numbness and tingling, known as sciatica, in one
leg that accompanies back pain. Only a small percentage of these
are due to compression or irritation of the sciatic nerve by a
lumbar disc prolapse (bulging of the cushion between the
vertebrae of the spine); however, this is the most common cause
of sciatica. Surgery is a necessity for a small minority of
sciatica cases. Most resolve by conservative management;
however, surgery may provide faster relief in acute sciatica
cases and for those cases that have not resolved initially with
conservative management. At this time there is no long-term data
showing a surgery to be superior to conservative management.
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