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The conservative treatment of sciatica.

G R Bell, R H Rothman

    Spine
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Conservative treatment for acute sciatica includes bed rest and anti-inflammatory drugs like aspirin. Patients receive education on back hygiene and may start aerobic exercise, with surgery considered after 3 months if conservative methods fail.

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    Area of Science:

    • Orthopedics
    • Pain Management
    • Physical Therapy

    Background:

    • Acute sciatica is commonly treated with conservative measures.
    • Non-surgical interventions aim to alleviate pain and improve function.

    Purpose of the Study:

    • To outline a rational, conservative treatment approach for acute sciatica.
    • To define the role of bed rest, medication, and physical therapy in sciatica management.

    Main Methods:

    • Recommends 2 weeks of complete bed rest followed by gradual mobilization.
    • Prescribes buffered aspirin for pain relief and inflammation.
    • Includes patient education on low-back hygiene and aerobic exercise programs.

    Main Results:

    • Conservative therapy, including bed rest and anti-inflammatory medication, is the primary approach.

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  • Gradual mobilization and exercise are encouraged for physically capable patients.
  • Surgery is reserved for cases with absolute indications or failure of conservative treatment.

    • Conclusions:

    • A 3-month trial of conservative therapy is reasonable before considering surgery for acute sciatica.
    • Management involves a combination of rest, medication, patient education, and exercise.
    • Early surgical intervention is typically not indicated unless specific neurological deficits are present.