Bell G R, Rothman R H
Spine (Phila Pa 1976). 1984 Jan-Feb;9(1):54-6. doi: 10.1097/00007632-198401000-00012.
The mainstay of rational treatment of acute sciatica involves bed rest and antiinflammatory drugs. The authors recommended 2 weeks of complete bed rest with progressive gradual mobilization over the next 7-10 days. Buffered aspirin in a dosage of 10-15 grains every 4 hours is prescribed both for its analgesic effect as well as for its antiinflammatory properties. Through the low-back school, the patient is instructed in low-back hygiene. Physically capable patients are encouraged to begin an aerobic exercise program. In the absence of absolute indications for surgery (cauda equina syndrome or marked progressive muscle weakness) it seems reasonable to permit up to 3 months of conservative therapy before recommending surgery.
急性坐骨神经痛合理治疗的主要方法包括卧床休息和使用抗炎药物。作者建议完全卧床休息2周，接下来的7 - 10天逐渐进行活动。每4小时服用10 - 15格令的缓冲阿司匹林，因其具有止痛和抗炎特性。通过腰椎保健课程，指导患者进行腰部保健。鼓励身体状况允许的患者开始有氧运动计划。在没有绝对手术指征（马尾综合征或明显进行性肌肉无力）的情况下，在建议手术前允许长达3个月的保守治疗似乎是合理的。
