© 1987 British Society for Rheumatology
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BACK PAIN AND SCIATICA: CONTROLLED TRIALS OF MANIPULATION, TRACTION, SCLEROSANT AND EPIDURAL INJECTIONS
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
Correspondence to:
Address correspondence to Dr. Mathews.
Four treatment regimens for patients with specified combinations of low back pain and sciatica were evaluated. The largest group studied had low back pain with limited straight-leg raising (SLR) and in them the beneficial effect of manipulation in hastening pain relief was highly significant. In similar patients without limitation of SLR, the effect was of borderline significance. In all the other groups, treated patients also recovered more quickly than their controls. Traction, for patients with low back pain and sciatica, and epidural injections when a root palsy 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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