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Back surgery can relieve pressure on the spine, but it is not a cure-all for spinal stenosis. There may be considerable pain immediately after the operation, and pain may persist on a longer-term basis. For some people, recovery can take weeks or months and may require long-term occupational and physical therapy.
A large study of spinal stenosis from Finland found the prognostic factors for ability to work after surgery were ability to work before surgery, age under 50 years, and no prior back surgery. The very long-term outcome (mean follow-up time of 12.4 years) was excellent-to-good in 68% of patients (59% women and 73% men).
1764: Domenico Cotugno describes sciatica as a disease of nervous origin. [89] 1881: Lasegue's sign is described for the diagnosis of sciatica. [90] 1916: Tardy nerve palsy is described in ulnar nerve. [91] 1934: Theory that a spinal disc pressing on the spinal cord can cause sciatica is introduced. [92] 1947: Piriformis syndrome is described. [93]
When the cause of sciatica is lumbar disc herniation (90% of cases), [4] most cases resolve spontaneously over weeks to months. [47] Initially treatment in the first 6–8 weeks should be conservative. [4] More than 75% of sciatica cases are managed without surgery. [14] Smokers with sciatica are strongly urged to quit in order to promote ...
According to the Cleveland Clinic, the sciatic nerve is the largest and longest nerve in the body, running all the way from the low back down the back of each leg, into each foot. Sciatica is ...
In the early 1900s, dysfunction of the sacroiliac joint was a common diagnosis associated with low back and sciatic nerve pain. [18] However, research by Danforth and Wilson in 1925 concluded that the sacroiliac joint could not cause sciatic nerve pain because the joint does not have a canal in which the nerves can be entrapped against the ...