Diagnosis and treatment of sciatica  

Oleh:

Koes, B W ; Tulder, M. W. van ; Peul, Wilco C.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: British Medical Journal (keterangan: ada di Proquest) vol. 334 no. 7607 (Jun. 2007), page 1313.
Topik: clinical review

Ketersediaan

Perpustakaan FK Nomor Panggil: B16.K.2007.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Sciatica affects many people. The most important symptoms are radiating leg pain and related disabilities. Patients are commonly treated in primary care but a small proportion is referred to secondary care and may eventually have surgery. Many synonyms for sciatica appear in the literature, such as lumbosacral radicular syndrome, ischias, nerve root pain, and nerve root entrapment. Summary points Most patients with acute sciatica have a favourable prognosis but about 20%-30% have persisting problems after one or two years The diagnosis is based on history taking and physical examination Imaging is indicated only in patients with "red flag" conditions or in whom disc surgery is considered Passive (bed rest) treatments have been replaced with more active treatments Consensus is that initial treatment is conservative for about 6-8 weeks Disc surgery may provide quicker relief of leg pain than conservative care but no clear differences have been found after one or two years

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