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BACK PAIN AND SCIATICA: CONTROLLED TRIALS OF MANIPULATION, TRACTION, SCLEROSANT AND EPIDURAL INJECTIONS |
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| Authors: | MATHEWS, J. A. MILLS, S. B. JENKINS, V. M. GRIMES, S. M. MORKEL, M. J. MATHEWS, W. SCOTT, C. M. SITTAMPALAM, Y. |
| Affiliation: | 1Departments of Rheumatology, St. Thomas' Hospital London SE1 7EH, UK 2Departments of Physiotherapy, St. Thomas' Hospita London SE1 7EH, UK 3Departments of Community Medicine, St. Thomas' Hospital London SE1 7EH, UK |
| Abstract: | Four treatment regimens for patients with specified combinationsof low back pain and sciatica were evaluated. The largest groupstudied had low back pain with limited straight-leg raising(SLR) and in them the beneficial effect of manipulation in hasteningpain relief was highly significant. In similar patients withoutlimitation of SLR, the effect was of borderline significance.In all the other groups, treated patients also recovered morequickly than their controls. Traction, for patients with lowback pain and sciatica, and epidural injections when a rootpalsy was present also produced some significant pain relief.The effect of sclerosants for back pain was less clear. KEY WORDS: Spine, Treatment, Pain-relief, Outcome |
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