The clinical effectiveness and costeffectiveness of management strategies  for sciatica: systematic review and economic model

Lewis, R; Williams, N; Matar, HE; Din, N; Fitzsimmons, D; Phillips, C; Jones, M; Sutton, A; Burton, K; Nafees, S; Hendry, M; Rickard, I; Chakraverty, R; Wilkinson, C

doi:10.3310/hta15390

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Study found non-opioid medication, epidural corticosteroid injections and disc surgery to be clinically effective for the treatment of sciatica. The evidence did not support the use of opioids and activity restriction

R Lewis, N Williams, HE Matar, N Din, D Fitzsimmons, C Phillips, M Jones, A Sutton, K Burton, S Nafees, M Hendry, I Rickard, R Chakraverty & C Wilkinson.

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R Lewis ^1,^*, N Williams ¹, HE Matar ¹, N Din ¹, D Fitzsimmons ², C Phillips ², M Jones ¹, A Sutton ³, K Burton ⁴, S Nafees ¹, M Hendry ¹, I Rickard ⁵, R Chakraverty ⁶, C Wilkinson ¹

¹ Department of Primary Care and Public Health, Cardiff University, School of Medicine, North Wales Clinical School, Wrexham, UK
² School of Human and Health Sciences, Swansea University, Swansea, UK
³ Department of Health Sciences, University of Leicester, Leicester, UK
⁴ Spinal Research Institute, University of Huddersfield, Huddersfield, UK
⁵ Patient representative, Betws-y-coed, UK
⁶ The Spinal Unit, Royal Orthopaedic Hospital NHS Trust, Birmingham, UK
^* Corresponding author Email: lewisr17@cf.ac.uk

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