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Journal of Bone and Joint Surgery, 1968;50:170-181.
© 1968 by The Journal of Bone and Joint Surgery, Inc

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

ANTHONY J. BIANCO JR. M.D.1

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

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.


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