Lack of Effectiveness of Bed Rest for Sciatica

The condition of patients with sciatica usually improves over time. 1 , 2 Several conservative therapies have been proposed for this disorder, with bed rest as a mainstay. For low back pain, bed rest has traditionally been considered effective, although there are few objective data to support this v...

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Veröffentlicht in:The New England journal of medicine 1999-02, Vol.340 (6), p.418-423
Hauptverfasser: Vroomen, Patrick C.A.J, de Krom, Marc C.T.F.M, Wilmink, Jan T, Kester, Arnold D.M, Knottnerus, J. André
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Sprache:eng
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Zusammenfassung:The condition of patients with sciatica usually improves over time. 1 , 2 Several conservative therapies have been proposed for this disorder, with bed rest as a mainstay. For low back pain, bed rest has traditionally been considered effective, although there are few objective data to support this view, 3 and in recent years evidence of the ineffectiveness of bed rest for patients with low back pain has accumulated. 4 – 6 Although bed rest continues to be widely used to treat sciatica, 7 evidence from a randomized, controlled trial has been lacking. We conducted a randomized, controlled, blinded trial of the efficacy of two weeks . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM199902113400602