Inclusion criteria: | |
• Diagnosed lower-extremity radiculopathy (sciatica) | |
• Sciatica secondary to prolapsed intervertebral disc (PID) (proven on magnetic resonance imaging (MRI)) | |
• Duration of symptoms between 6 weeks and 12 months | |
• Leg pain non-responsive to conservative, non-invasive management | |
• Age 16–65 years | |
• Patient has attempted at least one form of conservative (non-operative) treatment (but this has not provided adequate relief of patient’s pain/symptoms) | |
• Patient willing and able to give consent | |
Including but not limited to; medication, physiotherapy, modification of daily activities | |
Exclusion criteria: | |
• Serious neurological deficit (e.g. foot-drop/possible cauda-equina compression) | |
• Previous spinal surgery at the same intervertebral disc (level) | |
• Sciatica presentation for longer than 12 months | |
• Age < 16 years | |
• Age > 65 years | |
• Patient has not attempted any form of conservative treatment | |
• Any patient who has a contraindication for surgery and/or injection | |
• Patient known to be pregnant |