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Tag: Sciatica

Evidence Limited for Long-Term Benefits of Discectomy for Sciatica

Benefits for reduction in leg pain and disability declined over time

Pulsed Radiofrequency + Steroids Best for Sciatica From Herniated Disc

Outcomes better with pulsed radiofrequency + transforaminal epidural steroid injection than injection alone in terms of leg pain severity, disability over one year after treatment

For patients with acute back pain with sciatica

Early Physical Therapy Beneficial for Acute Back Pain With Sciatica

Oswestry Disability Index score and secondary outcomes favor early PT versus usual care at four weeks
Microdiscectomy is superior to nonsurgical care with respect to pain intensity in patients with sciatica lasting more than four months and caused by lumbar disc herniation

Surgery Superior to Nonoperative Care for Persistent Sciatica

Leg pain intensity score lower at six months with microdiscectomy versus standard nonoperative care
For patients with chronic sciatica

Gabapentin Beats Pregabalin for Chronic Sciatica

More frequent adverse events seen with pregabalin, especially when taken before gabapentin
In back-related leg pain and sciatica patients

Various Factors Affect Progress in Back-Related Leg Pain, Sciatica

Belief in a long recovery, many symptoms attributed to pain negatively tied to improvement
Pregabalin does not significantly reduce the intensity of leg pain associated with sciatica

Pregabalin Doesn’t Cut Intensity of Sciatica-Linked Leg Pain

No significant difference in leg-pain intensity score at week eight or 52 for pregabalin, placebo
Oral prednisone is no more effective than placebo for sciatica pain and provide only modest improvement in function

Prednisone for Sciatica No Better Than Placebo

But steroid was tied to small improvements in ability to perform daily activities