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Related Experiment Video

Updated: Dec 18, 2025

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Why managing sciatica is difficult: patients' experiences of an NHS sciatica pathway. A qualitative, interpretative

Clare Ryan1,2, Catherine J Pope3, Lisa Roberts2,4

  • 1Physiotherapy Service, Solent NHS Trust, Portsmouth, Hampshire, UK Clare.ryan1@nhs.net.

BMJ Open
|June 14, 2020
PubMed
Summary
This summary is machine-generated.

Patients undergoing sciatica treatment in the UK

Keywords:
adult orthopaedicsback painmusculoskeletal disordersprotocols & guidelinesqualitative researchquality in health care

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Area of Science:

  • Healthcare management
  • Patient experience
  • Musculoskeletal disorders

Background:

  • The UK's National Health Service (NHS) is implementing a new Low Back and Radicular Pain Pathway.
  • Understanding patient perspectives is crucial for aligning care with needs in integrated, high-value care models.

Purpose of the Study:

  • To explore patient experiences of sciatica management within an NHS pathway.
  • To identify challenges and facilitators in the patient journey for sciatica.

Main Methods:

  • Qualitative interpretative study design.
  • Semi-structured interviews with 14 adult sciatica patients undergoing specialist physiotherapy.
  • Thematic analysis of interview data.

Main Results:

  • Patients faced challenges due to pathway issues: lack of transparency, clinician-led decisions, standardized care, restricted specialist access, and poor inter-service collaboration.
  • Patients needed to be independent and proactive, but this was hindered by sciatica's impact and lack of skills, funds, or support.
  • These combined factors negated patients' capability to manage their sciatica effectively.

Conclusions:

  • The current sciatica pathway requires improvement to be more person-centred.
  • Empowering patient agency and providing adequate support are essential for effective sciatica management.
  • Aligning care with recommended best practices and patient needs is vital.