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

11th Sierra Leonean doctor dies from Ebola

59 minutes ago

One of Sierra Leone's most senior physicians died Thursday from Ebola, the 11th doctor in the country to succumb to the disease, a health official said.

In the battle against Ebola, a double-layer solution

1 hour ago

When working with Ebola patients, protective gear works, but removing it can be harrowing. Seeking to protect health care workers from the precarious nature of taking off soiled gloves, Cornell students have ...

New hope for rare disease drug development

12 hours ago

Using combinations of well-known approved drugs has for the first time been shown to be potentially safe in treating a rare disease, according to the results of a clinical trial published in the open access Orphanet Journal of ...

Three weeks since last Ebola case in Mali: WHO

15 hours ago

Mali has not had a case of Ebola for three weeks, the World Health Organization said Wednesday, completing one of the two incubation periods the country needs to be declared free of the virus.

Migraine may double risk for facial paralysis

16 hours ago

Migraine headache may double the risk of a nervous system condition that causes facial paralysis, called Bell's palsy, according to a new study published in the December 17, 2014, online issue of Neurology, the medical journa ...

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.