The common health issue: Herniated Lumbar Intervertebral Disk
Pain from disk herniation, the leading cause of sciatica, usually resolves within several weeks with conservative therapy. In patients with sciatica for 6 weeks, pain relief is faster with surgery than with conservative therapy; however, outcomes are similar at 1 year.
Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.
Dr. Deyo reports receiving a financial award from NuVasive as part of a lifetime achievement award from the International Society for the Study of the Lumbar Spine. No other potential conflict of interest relevant to this article was reported.Testing for Compromise of a Lumbar Nerve Root.
From the Departments of Family Medicine, Medicine, and Public Health and Preventive Medicine, and the Oregon Institute of Occupational Health Sciences, Oregon Health and Science University, Portland (R.A.D.); and the Department of Orthopaedic Surgery and the Dartmouth Institute, Dartmouth Geisel School of Medicine, Hanover, NH (S.K.M.).
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