LBP is usually benign and self-limiting, but can be the presenting feature of serious spinal pathology, such as malignancy, occurring in 1.4–5% of presentations. Low back pain (LBP) is the worldwide leading cause of disability and a common presentation to medical services, with an average prevalence of 9.4%. A more aggressive approach would include epidural infiltrations and radiofrequency. Pain treatment includes analgesics, anticonvulsants and muscle relaxants. Management includes physical conditioning, proper pain management, and surgery as a last resort. Imaging is usually not necessary at first testing with X-ray and MRI are key to diagnosing lumbar instability and herniated discs. Sciatica diagnosis is based on a careful history and clinical examination.

In addition, the authors’ clinical experience has been utilised to propose a schema to assist in the assessment and treatment of sciatica in a primary care setting. 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. Here, we review the available literature on sciatica. Updated information on sciatica management is important for family physicians. The aim of this article is to better inform medical practitioners on diagnosis and management of lower back pain with sciatic radiation. Sciatica or lower back pain with sciatic radiation is a frequent medical problem in primary care.

Sciatica leg test