Sciatica: Treatment with a Blend of Maitland Mobilization, McKenzie Exercises along with NMES - A Case Study

Abstract

Sciatica is referred to radiculopathy involving any of the lower extremity, caused by either inflammation or compression of the nerve roots L1-S1. It can be diagnosed majorly through an appropriate history taking and physical examinations to not be misdiagnosed with other chronic low back pain conditions. A conservative management is preferred when in an acute stage of 6-8 weeks after which a surgical approached is advised. Although various studies has shown evidences that a prolonged conservative care is most fitting than a short term surgical approach (discectomy). The prevalence of sciatic symptoms ranging from 1.6% to 43%, maximum noted in the working population, has drawn attention for the need of an effective and early conservative care to downsize the symptoms causing discomfort and pain. Thus, the aim of the case report was to present with an early and effective conservative care with a blend of Maitland Mobilization, McKenzie exercises along with Neuro-Muscular Electrical Stimulation (Interferential Current) to minimize the discomfort thus easing and bolstering the individual in activities of daily living followed by an uncomplicated returning back to recreational activities. The patient was managed with a blend of Maitland Mobilization, McKenzie exercises and Interferential current for 7 days consecutively along with an individually tailored Home exercise program according the patient tolerance. Outcomes measures namely numerical pain rating scale, lower extremity functional scale and Roland Morris Disability Questionnaire were evaluated before and after the 7 day intervention period to assess prognosis in pain and pain related disability. Thus the changes in pre and post intervention results stated positive outcomes in reducing pain and improving the functional activity and participation in social and recreational ventures. Keywords: Sciatica, Maitland Mobilization, Mckenzie exercise, Interferential Therapy, radicular pain.