Author(s): Michael Moussa, Miis Akel, Aya Ziq, Sahil Shah and Sergio Hernandez Borges

Abstract: Back pain is a prevalent problem in clinical settings and sciatica stands out as a major contributor due to its significant impact on the well-being of patients. Sciatica typically results from pressure on the nerves in the back commonly caused by issues like herniated discs, spinal narrowing, or degenerative disc disease. Symptoms may include sharp pain, tingling sensations, and weakness in the lower extremities. This case focuses on a 23-year-old female presenting with acute sciatica due to a significant disc herniation at the L4-L5 vertebrae. Despite facing symptoms that could potentially lead to cauda equina syndrome, the patient opted for conservative treatments over surgery. This case report follows her journey through MRI scans that revealed a disc protrusion and considerable narrowing of the spinal canal alongside conservative management strategies that involved pharmacotherapy, epidural injections, and physical therapy. Over three months, the patient showed remarkable improvement, transitioning from severe disability to functional independence. This case emphasizes the value of tailoring care to patient preferences for treatment modalities. While there are discussions about whether conservative or surgical approaches are more effective for sciatica management, this particular example showcases successful non-surgical methods that highlight the importance of patient-centered care and the potential for substantial improvement, without resorting to surgery. This study contributes to the ongoing discourse on optimal strategies for sciatica management suggesting that non-invasive treatments can successfully alleviate symptoms and improve functionality.

DOI: 10.22271/27078345.2024.v6.i1b.197

Pages: 89-91 | Views: 147 | Downloads: 84

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