1,894 results match your criteria Low Back Pain and Sciatica

Neural mobilization in low back and radicular pain: a systematic review.

J Man Manip Ther 2022 May 18:1-9. Epub 2022 May 18.

Samuel Merritt University, Department of Physical Therapy, Oakland, CA, USA.

Background: Low back pain can present with radicular pain caused by lumbosacral nerve root pathology. Neural mobilization (NM) is a treatment technique used to treat low back and radicular pain (LBRP).

Purpose: To evaluate the effectiveness of NM interventions in improving pain, disability, and function in adults with LBRP. Read More

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Oxygen-Ozone Therapy Associated with Alpha Lipoic Acid Plus Palmitoylethanolamide and Myrrh versus Ozone Therapy in the Combined Treatment of Sciatic Pain Due to Herniated Discs: Observational Study on 318 Patients.

Int J Environ Res Public Health 2022 May 7;19(9). Epub 2022 May 7.

Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy.

Background: The aim of our observational study is to compare the therapeutic efficacy of combined treatment of oxygen-ozone therapy and oral treatment with alpha-lipoic acid (ALA) + palmitoylethanolamide (PEA) and myrrh in patients with peripheral neuropathic pain (sciatica) on radicular disc conflict from disc herniation and the results obtained with oxygen-ozone treatment alone.

Methods: We enrolled 318 patients with the neuroradiological diagnosis of disc herniation performed with computed tomography (CT) or magnetic resonance imaging (MRI) and symptoms characterized by low back pain complicated by sciatica, which we divided into two groups. Group A was composed of 165 patients who were treated only with oxygen-ozone therapy with CT-guided intraforaminal technique, while the remaining 153 (Group B) have undergone combined oral treatment with ALA + PEA and myrrh. Read More

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Computational Analysis of the Immune Infiltration Pattern and Candidate Diagnostic Biomarkers in Lumbar Disc Herniation.

Front Mol Neurosci 2022 21;15:846554. Epub 2022 Apr 21.

Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

Objectives: Lumbar disc herniation (LDH) is a musculoskeletal disease that contributes to low back pain, sciatica, and movement disorder. Existing studies have suggested that the immune environment factors are the primary contributions to LDH. However, its etiology remains unknown. Read More

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Pestle Needle ()Treatment for Low-Back Pain and Sciatica.

Med Acupunct 2022 Apr 19;34(2):137-141. Epub 2022 Apr 19.

Traditional Chinese Medicine, Dharma Usada Faculty, Nalanda Buddhist Traditional Healthcare College, Jakarta Timur, Indonesia.

Background: Low-back pain, with or without sciatica, is the most-frequently encountered pain in clinical practice. There are many ways to alleviate this pain, but most modalities are time- or cost-consuming.

Cases: This report describes how pestle-needle therapy was used to treat low-back pain and sciatica in 3 patients. Read More

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Neurodynamic exercises provide no additional benefit to extension-oriented exercises in people with chronic low back-related leg pain and a directional preference: A randomized clinical trial.

J Bodyw Mov Ther 2022 Apr 2;30:140-147. Epub 2022 Feb 2.

Graduate Program in Physical Education, Federal University of Sergipe, São Cristovão, Sergipe, Brazil; Department of Physical Therapy, Federal University of Sergipe, São Cristovão, Sergipe, Brazil.

Background: Chronic low back-related leg pain may involve mixed pain mechanisms. A strategy to address both neuropathic and nociceptive pain symptoms would be combining treatments.

Objective: To assess the effects of adding neurodynamic exercises to extension-oriented exercises in patients with chronic low back-related leg pain and a directional preference. Read More

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Total Resorption of a Chronic L4-L5 Disc Extrusion After Application of the Atlasprofilax Method: A Case Report.

Am J Case Rep 2022 Apr 27;23:e935208. Epub 2022 Apr 27.

Continuing Medical Education, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia.

BACKGROUND The intervertebral disc extrusion resorption has been described in the literature by various authors. It occurs in up to 75% of patients with symptomatic extruded lumbar discs. The Atlasprofilax method favors osteo-musculo-articular rehabilitation processes, mainly impacting on 2 levels: the first is the bone anatomy of the atlanto-occipital joint, and the second is the fasciae located in the cervical region. Read More

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Patients' expectations and experiences of accelerated access to physiotherapy for sciatica: qualitative findings from a mixed-methods study.

Physiotherapy 2022 Jan 31;115:102-110. Epub 2022 Jan 31.

Sheffield Children's Hospital NHS Foundation Trust, Western Bank, Sheffield, S10 2TH. Electronic address:

Objectives: Physiotherapy is often utilised in the management of sciatica and yet little research has been undertaken to examine patient expectations and experiences of physiotherapy and its timing. This study reports patient expectations and experiences of accelerated access to physiotherapy for sciatica.

Setting & Participants: Participants with clinically diagnosed sciatica (n=33) were recruited for individual interviews (n=46) from 14 National Health Service (NHS) primary care general practices, and one physiotherapy service provider in the same city in England. Read More

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January 2022

Real world data collection and cluster analysis in patients with sciatica due to lumbar disc herniation.

Clin Neurol Neurosurg 2022 Jun 12;217:107246. Epub 2022 Apr 12.

Faculty of Medicine and Life Science, Hasselt University, Hasselt, Belgium; Jessa Hospital, Department of Neurosurgery, Hasselt, Belgium.

Objective: The aim of this study was to identify and describe clusters of patients with similar characteristics presenting with sciatica caused by a lumbar disc herniation in secondary care.

Methods: Forty-six percent (n = 163) of the eligible patients (n = 352) completed all questionnaires and were included in a hierarchical cluster analysis. The analysis was based on baseline characteristics for pain, pain awareness and catastrophizing, disability and quality of life (QOL). Read More

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Radiofrequency Ablation of the Superior Cluneal Nerve: A Novel Minimally Invasive Approach Adopting Recent Anatomic and Neurosurgical Data.

Pain Ther 2022 Jun 17;11(2):655-665. Epub 2022 Apr 17.

University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Objectives/introduction: Superior cluneal neuralgia (SCN) is a distinct cause of lower back and/or leg pain related to pathology of the superior cluneal nerve (SCn). SCN has been termed pseudo-sciatica and is an overlooked differential diagnosis when patients are otherwise presenting with low back and/or radicular pain. Radiofrequency ablation (RFA) is commonly used for denervation of the medial branches of the dorsal root for facet joint syndrome for sacroiliac joint; however, RFA has not been described to ablate the SCn for SCN. Read More

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A content analysis of online information about the benefits and harms of spine surgery.

Braz J Phys Ther 2022 Mar-Apr;26(2):100398. Epub 2022 Mar 16.

Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia; School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Background: It is unknown whether online information about the benefits and harms of surgery contains an accurate description of evidence.

Objective: To describe the proportion of webpages containing information about surgery for spinal pain (decompression and fusion) that accurately described the evidence on the benefits of surgery, described harms, and provided quantitative estimates of these harms.

Methods: We performed a content analysis of webpages containing information about spine surgery. Read More

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Surgical Resection of Bertolotti Syndrome.

Ochsner J 2022 ;22(1):76-79

Department of Orthopedics, Ochsner Clinic Foundation, New Orleans, LA.

Bertolotti syndrome is the association of lumbosacral transitional vertebrae and low back pain or sciatica. Lumbosacral transitional vertebrae are vertebrae with large transverse processes that (1) articulate or fuse with the sacrum or ilium and (2) have a caudal disc space. Bertolotti syndrome is relatively common, with an incidence of 4. Read More

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January 2022

The Association between Bodily Pain and Cognitive Impairment in Community-Dwelling Older Adults.

J Pers Med 2022 Feb 25;12(3). Epub 2022 Feb 25.

Department of Medical Research, Taichung Veterans General Hospital, Taichung 40705, Taiwan.

Background: Bodily pain is a common condition in older adults and interferes with individuals' cognitive functioning. We aimed to evaluate the association between bodily pain and related locations and cognitive impairment among community-dwelling older adults in Taiwan.

Method: In this retrospective, cross-sectional study, we enrolled 2022 participants aged 60‒70 years, from the Taiwan Biobank. Read More

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February 2022

Bi-Needle PELD with Intra-Discal Irrigation Technique for the Management of Lumbar Disc Herniation.

Pain Physician 2022 03;25(2):E309-E317

Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Background: Lumbar disc herniation (LDH) is the most common cause of sciatica. Percutaneous endoscopic discectomy (PELD) is indicated when conservative treatments fail, which has been proved effective. During conventional PELD, ruptured discs and loose fragments inside discs are removed as much as possible to guarantee a lower reherniation rate, but it inevitably would lead to deterioration of disc degeneration and loss of disc height after PELD. Read More

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Intradiscal ozone therapy: fluoroscopic guidance reduces operative time in comparison with CT guidance in patients with lumbar disc herniation.

Radiol Med 2022 May 15;127(5):526-533. Epub 2022 Mar 15.

UOC Neuroradiologia, Ospedale del Mare, ASL NA 1 Centro, Via Enrico Russo, 80147, Napoli, Italy.

Purpose: To compare clinical success and operative time for percutaneous intradiscal ozone therapy in patients with lumbar disc herniation using fluoroscopic guidance versus computed tomography (CT).

Materials And Methods: During the year 2019, 68 percutaneous single-level intradiscal ozone therapies were performed on patients complaining of low back pain and/or sciatica due to lumbar disc herniation, using fluoroscopic or conventional CT guidance, respectively, in 35 and 32 herniated lumbar discs, with at least 1-month follow-up. Oswestry Disability Index (ODI) was used to assess clinical outcome. Read More

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[Therapeutic effect of needling on discogenic sciatica: a randomized controlled trial].

Zhongguo Zhen Jiu 2022 Mar;42(3):261-6

Acupuncture Anesthesia Clinical Research Institute, Shanghai University of TCM, Shanghai 200437, China.

Objective: To compare the therapeutic effect between (warming acupuncture plus fast needling) combined with conventional acupuncture and simple conventional acupuncture on discogenic sciatica.

Methods: A total of 76 patients with discogenic sciatica were randomized into a Fanzhen Jieci group and a conventional acupuncture group, 38 cases in each one. Conventional acupuncture was applied at Shenshu (BL 23), Dachangshu (BL 25), L-L Jiaji (EX-B 2) and Huantiao (GB 30) on the affected side, etc. Read More

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Reliability of the straight leg raise test for suspected lumbar radicular pain: A systematic review with meta-analysis.

Musculoskelet Sci Pract 2022 Feb 20;59:102529. Epub 2022 Feb 20.

Department of Physical Therapy, Samuel Merritt University, Oakland, CA, USA.

Background: The passive straight leg raise (SLR) and crossed SLR are recommended tests for lumbar radicular pain. There are no recent reviews of test reliability.

Objectives: To summarize SLR and crossed SLR reliability in patients with suspected lumbar radicular pain. Read More

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February 2022

[Treatment of sciatica by lumbar nerve root canal injection under X-ray angiography].

Zhongguo Gu Shang 2022 Feb;35(2):159-62

Tianjin Binhai New Area Chinese Medicine Hospital, Tianjin 300451, China.

Objective: To investigate the short-term clinical effect of lumbar nerve root canal injection under X-ray angiography in the treatment of sciatica.

Methods: The clincal data of 78 patients with sciatica underwent lumbar nerve root canal injection under X-ray angiography from December 2017 to February 2020 was retrospectively analyzed. Including 31 males and 47 females, aged from 22 to 88 years old with a median of 65 years. Read More

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February 2022

Reducing Low-Value Imaging for Low Back Pain: Systematic Review With Meta-analysis.

J Orthop Sports Phys Ther 2022 Apr 5;52(4):175-191. Epub 2022 Feb 5.

Objective: To examine the effectiveness of implementing interventions to improve guideline-recommended imaging referrals in low back pain.

Design: Systematic review with meta-analysis.

Literature Search: We searched MEDLINE, EMBASE, the Cumulative Index to Nursing and Allied Health Literature, Web of Science Core Collection, and the Cochrane Central Register of Controlled Trials from inception to June 14, 2021, as well as Google Scholar and reference lists of relevant systematic reviews published in the last 10 years. Read More

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Neural management plus advice to stay active on clinical measures and sciatic neurodynamic for patients with chronic sciatica: Study protocol for a controlled randomised clinical trial.

PLoS One 2022 4;17(2):e0263152. Epub 2022 Feb 4.

Rehabilitation Science Postgraduation Program, Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.

Advice to stay active is the primary management strategy for sciatica. Other conservative treatments such as neural management techniques may also contribute to sciatica recovery, but currently, the effects have not been robustly assessed. Thus, the aim of this study is to compare the effects of adding neural management to advice to stay active versus advice to stay active alone in improving pain intensity and functional limitation. Read More

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Efficacy and safety of Daoyin and massage for lumbar disc herniation: A protocol for overview of systematic reviews.

Medicine (Baltimore) 2022 Feb;101(5):e28775

Tianjin Hospital, Tianjin, China.

Background: Lumbar disc herniation (LDH) is a common disease, which can cause low back pain, sciatica, and even disability. The treatment of LDH is a global challenge. Conservative therapy with non-drugs is considered to be the first choice for patients with LDH. Read More

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February 2022

Surgical interventions for Bertolotti's syndrome: case report and review of unsatisfactory cases in the literature.

BMC Surg 2022 Feb 2;22(1):36. Epub 2022 Feb 2.

Department of Neurosurgery, China Medical University Hospital, No.2, Yu-Der Road, North Area, Taichung, 40447, Taiwan, ROC.

Background: Bertolotti's syndrome (BS) is characterized by the enlargement of transverse processes in caudal lumbar segments, causing chronic and persistent low back pain or sciatica. The present study aimed to describe our surgical technique for BS treatment and to review existing literature describing unsatisfactory outcomes.

Case Presentation: We report a patient who complained of lower back pain and soreness that intermittently radiated to his left leg for longer than 10 years. Read More

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February 2022

Development of a clinical prediction model to inform clinical decision making for classification of patients with sciatica, based on their clinical characteristics, in the Greek health system: protocol for a prospective predictive exploratory study.

BMJ Open 2022 Jan 31;12(1):e052119. Epub 2022 Jan 31.

Physiotherapy Department, Laboratory of Advanced Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece.

Introduction: Sciatica is one of the most common reasons for seeking healthcare for musculoskeletal pain. Sciatica is primarily considered as neuropathic in nature when neural tissue in the low back is compromised, but sometimes other non-neural structures may be involved. Appropriate assessment and management are important for patients with sciatica. Read More

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January 2022

Treatment-based classification for low back pain: systematic review with meta-analysis.

J Man Manip Ther 2022 Jan 24:1-21. Epub 2022 Jan 24.

Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.

Objective: To systematically review the effects of treatment-based classification (TBC) in patients with specific and nonspecific acute, subacute and chronic low back pain.

Methods: The following databases were searched: MEDLINE, EMBASE, PsycINFO, Global Health, CENTRAL, Web of Science, CINAHL, SPORTDiscus, PEDro and WHO from inception up to December 2021. We used the PEDro scale, the TIDieR checklist and the GRADE approach to evaluate the risk of bias, quality on reporting and the certainty of the evidence, respectively. Read More

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January 2022

Clinician education unlikely effective for guideline-adherent medication prescription in low back pain: systematic review and meta-analysis of RCTs.

EClinicalMedicine 2022 Jan 3;43:101193. Epub 2022 Jan 3.

Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, 221 Burwood Highway, Burwood, Victoria 3125, Australia.

Background: Effectiveness of implementing interventions to optimise guideline-recommended medical prescription in low back pain is not well established.

Methods: A systematic review and random-effects meta-analyses for dichotomous outcomes with a Paule-Mandel estimator. Five databases and reference lists were searched from inception to 4 August 2021. Read More

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January 2022

Occupational cold exposure is associated with neck pain, low back pain, and lumbar radiculopathy.

Ergonomics 2022 Jan 24:1-10. Epub 2022 Jan 24.

Department of Community Medicine, University of Tromsø, Tromsø, Norway.

Ambient cold exposure can pose health risks, and this study was aimed at investigating associations with musculoskeletal disorders. A postal survey was performed on 12,627 men and women, ages 18-70 years, living in northern Sweden. Statistical associations were determined using multiple logistic regression. Read More

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January 2022

Lumbar Discectomy With Barricaid Device Implantation in Patients at High Risk of Reherniation: Initial Results From a Postmarket Study.

Cureus 2021 Dec 8;13(12):e20274. Epub 2021 Dec 8.

Orthopaedics, North Shore University Health System, Evanston, USA.

Background Patients with large defects in the annulus fibrosus following lumbar discectomy have high rates of symptomatic reherniation and reoperation. An FDA randomized controlled trial (RCT) with a bone-anchored device (Barricaid, Intrinsic Therapeutics, Woburn, MA) that occludes the annular defect reported significantly lower risk of symptomatic reherniation and reoperation compared to patients receiving discectomy only. However, results of the Barricaid device in real-world use remain limited. Read More

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December 2021

Effect of Neural Mobilization Exercises in Patients With Low Back-Related Leg Pain With Peripheral Nerve Sensitization: A Prospective, Controlled Trial.

J Chiropr Med 2021 Jun 2;20(2):59-69. Epub 2021 Oct 2.

Department of Physical Therapy, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

Objective: The aim of this study was to investigate the short-term effect of slider and tensioner exercises on pain and range of motion (ROM) of straight leg raise (SLR) and slump tests in patients with low back-related leg pain with peripheral nerve sensitization.

Methods: In this prospective, controlled trial, 51 patients with low back-related leg pain with peripheral nerve sensitization were divided into 3 treatment groups: slider (slider neural mobilization exercise + transcutaneous electric nerve stimulation [TENS]), tensioner (tensioner neural mobilization exercise + TENS), and control (only TENS). Each patient received 6 sessions over 2 weeks. Read More

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Posterior Dynamic Stabilization with Limited Rediscectomy for Recurrent Lumbar Disc Herniation.

Pain Res Manag 2021;2021:1288246. Epub 2021 Dec 23.

Department of Orthopedics, The Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China.

Objective: Recurrent lumbar disc herniation (RLDH) is the most common cause of sciatica after primary discectomy. The purpose of this study was to evaluate the efficacy of transpedicular dynamic stabilization (TDS) combined with limited rediscectomy in the treatment of single-level RLDH.

Methods: We retrospectively evaluated a consecutive series of 24 middle-aged patients who underwent TDS (Dynesys system) combined with limited rediscectomy (i. Read More

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January 2022

Causal Associations of Obesity With the Intervertebral Degeneration, Low Back Pain, and Sciatica: A Two-Sample Mendelian Randomization Study.

Front Endocrinol (Lausanne) 2021 8;12:740200. Epub 2021 Dec 8.

Department of Orthopedics, Zhongnan Hospital of Wuhan University, Wuhan, China.

The role of obesity in the development of dorsopathies is still unclear. In this study, we assessed the associations between body mass index (BMI) and several dorsopathies including intervertebral disc degeneration (IVDD), low back pain (LBP), and sciatica by using the Mendelian randomization method. We also assessed the effect of several obesity-related traits on the same outcomes. Read More

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February 2022