Baseline factors can predict return to work with sciatica

Baseline factors can predict return to work with sciatica

(HealthDay)—Prognostic factors have been identified to predict return to work (RTW) among patients with sciatica, according to a study published in the Dec. 1 issue of The Spine Journal.

Lars Grøvle, M.D., Ph.D., from Østfold Hospital Trust in Norway, and colleagues conducted a prospective evaluation involving 466 patients with sciatica in two samples. Sample A included 237 patients who reported being on partial or complete sick leave or were undergoing rehabilitation because of back pain or sciatica at the start of the study. Sample B included 125 patients who received sickness benefits or allowances due to back pain or sciatica.

At the two-year follow-up, the researchers found that one-fourth of were still out of work. In sample A, factors significantly associated with an increased probability of RTW at follow-up included younger age, better general health, lower baseline sciatica bothersomeness, less fear-avoidance work, and a negative straight-leg-raising test result, but not surgery. In sample B, significant associations with a longer time to sustained RTW were seen for history of sciatica, current sciatica episode of more than three months, greater sciatica bothersomeness, fear-avoidance work, and back pain. In this group, surgery was significantly negatively associated with time to sustained RTW.

"Less baseline bothersomeness, fear avoidance work, back , an episode duration less than three months, and no previous episodes predicted faster RTW," conclude the authors.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Patients with acute low back pain have poor prognosis

Apr 24, 2012

(HealthDay) -- Few patients with acute low back pain (LBP), with or without sciatica, declare sick leave; however, approximately half have one or more recurrences and a considerable proportion experience chronic ...

Targeted exercise relieves sciatica pain

Apr 09, 2012

(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 ...

Sex differences in return to work for cancer survivors

Feb 01, 2013

(HealthDay)—Significant differences have been identified in the return-to-work (RTW) process for male and female cancer survivors, according to research published online Jan. 28 in the Journal of Clinical On ...

Recommended for you

Ebola aid dogged by coordination lags in Guinea

12 hours ago

Eight months into West Africa's Ebola outbreak, aid efforts in Guinea still suffer from poor coordination, hampering deployments of international support to help quell a virus that has killed more than 1,200 ...

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.