{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:31:51Z","timestamp":1787758311792,"version":"build-2784847793"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Sciatica or lower back pain with sciatic radiation is a frequent medical problem in primary care. The aim of this article is to better inform medical practitioners on diagnosis and management of lower back pain with sciatic radiation. Updated information on sciatica management is important for family physicians. Here, we review the available literature on sciatica. Relevant articles were identified via a literature search in PubMed by focusing on the following key points: diagnostic and definition criteria, red flags, and therapy. In addition, the authors\u2019 clinical experience has been utilised to propose a schema to assist in the assessment and treatment of sciatica in a primary care setting. Sciatica diagnosis is based on a careful history and clinical examination. Imaging is usually not necessary at first; testing with X-ray and MRI are key to diagnosing lumbar instability and herniated discs. Management includes physical conditioning, proper pain management, and surgery as a last resort. Pain treatment includes analgesics, anticonvulsants and muscle relaxants. A more aggressive approach would include epidural infiltrations and radiofrequency.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1061_21","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T06:27:00Z","timestamp":1663050420000},"page":"4174-4179","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Sciatica. Management for family physicians"],"prefix":"10.4103","volume":"11","author":[{"given":"Antonio L.","family":"Aguilar-Shea","sequence":"first","affiliation":[{"name":"Family Physician, Centro de Salud Puerta de Madrid, Atenci\u00f3n Primaria de Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Gallardo-Mayo","sequence":"additional","affiliation":[{"name":"Anesthesiology and Reanimation, Universitary Hospital Infanta Leonor, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Sanz-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Anesthesiology and Reanimation, Universitary Hospital Infanta Leonor, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Paredes","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, University Hospital 12 de Octubre, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,8,30]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.amjmed.2020.01.011","article-title":"Estimating prevalence of serious spinal pathology in patients presenting to the emergency department with low back pain: Misrepresentation of prospective studies","volume":"133","author":"Stubbs","year":"2020","journal-title":"Am J Med"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.amjmed.2019.06.005","article-title":"Low back pain in the emergency department: Prevalence of serious spinal pathologies and diagnostic accuracy of red flags","volume":"133","author":"Galliker","year":"2020","journal-title":"Am J Med"},{"key":"B3-20240828","article-title":"Prevalence, incidence, and factors associated with non-specific chronic low back pain in community-dwelling older adults aged 60 years and older: A systematic review and meta-analysis","author":"Wong","year":"2021","journal-title":"J Pain"},{"key":"B4-20240828","article-title":"Lumbosacral Radiculopathy. In: StatPearls","author":"Alexander","year":"2021"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1136\/emermed-2020-209588","article-title":"Emergency department interventions for adult patients with low back pain: A systematic review of randomised controlled trials","volume":"38","author":"Oliveira","year":"2021","journal-title":"Emerg Med J"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.mcna.2020.08.014","article-title":"Evaluating and managing the patient with back pain","volume":"105","author":"Koumtouzoua","year":"2021","journal-title":"Med Clin North Am"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1007\/s00108-020-00919-5","article-title":"R\u00fcckenschmerzen in der Hausarztpraxis: Der spezifische R\u00fcckenschmerz [Back pain in the primary care setting: Specific back pain]","volume":"62","author":"Schwill","year":"2021","journal-title":"Internist 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Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1061_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:13:19Z","timestamp":1787757199000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1061_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8]]},"references-count":42,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1061_21","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8]]},"assertion":[{"value":"2021-06-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}