Thank you for such a wonderful article! It would be great if you can share your opinion on the following points:
1. As you mentioned in the article, 1/3 of the people sciatica will have their symptoms stay the same or even worse after 4-6 weeks. Would you advise early surgery to patient if there is no improvement in 4-6 weeks? Or would you wait till 3-4 months of conservative treatment? ( Obviously, patient preference and other factors play a huge role, but lets just discuss it in a vacuum)
2. While I understand why you say that it is a clinical course but not a natural history of sciatica due to the research design, is the true natural history of Sciatica going to be really similar to what you shown here ? Given that physiotherapy effect on sciatica is quite modest according to your own narrative review.
Great post, definitely think these are a big step up from twitter comments! Great figure from the ATLAS study
Thank you for such a wonderful article! It would be great if you can share your opinion on the following points:
1. As you mentioned in the article, 1/3 of the people sciatica will have their symptoms stay the same or even worse after 4-6 weeks. Would you advise early surgery to patient if there is no improvement in 4-6 weeks? Or would you wait till 3-4 months of conservative treatment? ( Obviously, patient preference and other factors play a huge role, but lets just discuss it in a vacuum)
2. While I understand why you say that it is a clinical course but not a natural history of sciatica due to the research design, is the true natural history of Sciatica going to be really similar to what you shown here ? Given that physiotherapy effect on sciatica is quite modest according to your own narrative review.
Again thanks for such an awesome article!