Targeted exercise relieves sciatica pain

Targeted exercise relieves sciatica pain

(HealthDay) -- Active conservative symptom-guided therapy for severe sciatica can safely reduce pain and improve neurological function at a rate that matches or surpasses outcomes from common higher-cost surgical interventions, according to a Danish study published in the April 1 issue of Spine.

Hanne B. Albert, P.T., Ph.D., and Claus Manniche, M.D., Ph.D., of the University of Southern Denmark in Ringe, conducted a prospective, single-blind, randomized, controlled study of 181 consecutive patients with severe sciatica. To evaluate the efficacy of active conservative treatments for relief of severe sciatica caused by a herniated disc, patients were randomly assigned to a group given symptom-guided exercise that targeted below-the-knee pain or to a group given sham exercises that improved general . Each group also received information and advice to stay active.

The researchers found that both groups of patients experienced similar reductions in leg pain at the end of treatment and at one year. For patients with severe sciatica, the symptom-guided patient exercises were superior to sham activities for improving most neurological signs after eight weeks of treatment and at one-year follow-up.

"Active was effective for patients who had symptoms and clinical findings that would normally qualify them for surgery," the authors write.

More information: Abstract
Full Text

Related Stories

Outpatient disc treatment gives long-term back pain relief

date Dec 02, 2009

A randomized, controlled study comparing standard conservative therapy to a minimally invasive treatment called percutaneous disc decompression for painful herniated disc revealed that while both treatments help patients ...

Low Back Pain Is No Reason to Stay in Bed

date Jun 16, 2010

For much of the 20th century, “rest”— which generally meant a few days to a week in bed — was the standard prescription for acute low-back pain. In recent decades, however, doctors started counseling patients to stay ...

Surgical treatment within six months of lumbar disc herniation

date Oct 25, 2011

A new study in the Journal of Bone and Joint Surgery (JBJS) found that patients with herniated lumbar disc symptoms were significantly worse if the patients had symptoms for more than six months prior to treatment, compared to t ...

Recommended for you

Score IDs patients with upper extremity DVT at low risk

date 13 hours ago

(HealthDay)—For patients with upper-extremity deep vein thrombosis (DVT), six easily available factors can be used to create a score that identifies those at low risk of adverse events during the first ...

Combined drug treatment combats kidney disease

date 23 hours ago

A recent discovery by drug researchers whereby coupling specific cell membrane receptors has altered kidney cell function has triggered a re-think of how to treat chronic kidney disease (CKD) more effectively.

Active substance targeting dreaded hospital germs

date 23 hours ago

In the German Center for Infection Research (DZIF), scientists have conducted clinical studies on an active substance against the dreaded hospital pathogen Staphylococcus aureus: a highly effective protein from bacteriophages ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.