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Management strategies for sciatica (PEDro synthesis)
  1. Nolwenn Poquet,
  2. Chung-Wei Christine Lin
  1. Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, Australia
  1. Correspondence to Nolwenn Poquet, 10 avenue Jean Zay, 45000 Orléans, France; poquet.nolwenn{at}gmail.com

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This section features a recent systematic review that is indexed on PEDro, the Physiotherapy Evidence Database (http://www.pedro.org.au). PEDro is a free, web-based database of evidence relevant to physiotherapy.

▸ Lewis RA, Williams NH, Sutton AJ, et al. Comparative clinical effectiveness of management strategies for sciatica: systematic review and network meta-analyses. Spine J 2015;15:1461–77.

Background

Sciatica is a very disabling condition defined as radicular leg pain, with or without sensory, motor or reflex deficits, radiating along the path of the sciatic nerve.1 Most of the time, it is the consequence of the nerve root irritation by an intervertebral disc herniation.2 There is no international consensus for the management of sciatica.2 Different interventions have been assessed in systematic reviews using pairwise meta-analyses, but many interventions have not been compared directly.

Aim

The primary aim was to perform a network meta-analysis comparing the effectiveness of different treatment strategies for sciatica in adults. This review is a revised analysis of a network meta-analysis published in 2011.3

Searches and inclusion criteria

Twenty-eight electronic databases and trial registries, including MEDLINE, EMBASE and AMED, were searched from inception to December 2009. Reference lists …

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