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

add to favorites email to friend print save as pdf

Related Stories

Outpatient disc treatment gives long-term back pain relief

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

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

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

Malaysia quarantines 64 villagers over MERS virus

1 hour ago

Malaysia has quarantined 64 people in a southern village after one of its residents become the country's first person to die of a respiratory illness that is spreading from the Middle East, local media reported Thursday.

Spate of Mideast virus infections raises concerns

1 hour ago

A recent spate of infections from a frequently deadly Middle East virus is raising new worries about efforts to contain the illness, with infectious disease experts urging greater vigilance in combatting ...

New MRSA superbug emerges in Brazil

2 hours ago

An international research team led by Cesar A. Arias, M.D., Ph.D., at The University of Texas Health Science Center at Houston (UTHealth) has identified a new superbug that caused a bloodstream infection ...

User comments