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Low-Back Pain and Sciatica: Diagnosis and Indications for Treatment



Protruded intervertebral disc, the most common cause of low-back pain, must be excluded from various conditions and diseases which cause similar symptoms.

The characteristic features of the the typical protruded intervertebral-disc syndrome, as well as some of the less common manifestations of the protruded disc, are presented.

The most effective treatment for the patient with a protruded disc is rest in bed until the pain subsides.

The sudden appearance and progressive development of a neurological deficit is an indications for prompt surgical treatment.

A lack of improvement after an adequate trial of rest in bed is a second, but less absolute, indication for surgical treatment.

Section of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 55901

Copyright © 1968 by The Journal of Bone and Joint Surgery, Incorporated
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