Treatment Options for Sciatica: Surgery, Epidural Injections, and Osteopathic Manipulative TreatmentLeonard B Goldstein1*, Roya Vahdatinia2, Victoria Troncoso3 and David Shoup2
- Corresponding Author:
- Leonard B Goldstein
Assistant Vice President for Clinical Education Development
AT Still University, 5850 E Still Circle
Mesa, AZ 85206, United States
E-mail: [email protected]
Received Date: February 10, 2017; Accepted Date: February 21, 2017; Published Date: March 05, 2017
Citation: Goldstein LB, Vahdatinia R, Troncoso V, Shoup D (2017) Treatment Options for Sciatica: Surgery, Epidural Injections, and Osteopathic Manipulative Treatment. J Pain Manage Med 3:122.
Copyright: © 2017 Goldstein LB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Understanding the etiology and optimal treatment options for sciatica is a frequently discussed medical topic. This study analyzes treatment options-specifically surgery, epidural steroid injections (ESI), and osteopathic manipulative treatment (OMT)-for sciatic radiculopathy due to lumbar disc herniation. A review of several studies comparing surgery to non-surgical intervention, surgery to ESI, ESI to conservative care, and OMT is discussed. There is no consensus on the usefulness of ESI; several studies illustrated efficacy while numerous others did not conclude statistical significance, and rather, highlighted the adverse effects. In contrast, OMT is considered a non-invasive first-line approach to achieving relief from sciatica, while surgery is a last resort in the uncomplicated patient.