“Sciatica” is an old world term that refers to leg pain felt down the back of the thigh into the calf and foot. What about thigh pain? What about buttock pain? Unfortunately, “sciatica” has been wrongly applied to all types and locations of leg pain. In 1948, the use of the word “sciatica” was declared “unhelpful” by a leading orthopedic specialist because it is limited to a certain location and really does not address the origin of the pain. Over the years, many older medical terms like sciatica have become archaic as the newer research technologies give doctors clearer definitions and a better understanding of the human body. Leg pain that comes from the low back is most accurately categorized as referred pain or neurogenic pain. These terms apply to all locations and address the origin of the pain. With these newer terms, the antiquated word, “sciatica”, has no place in the modern world. Sally has been waking up with right ...
References Apkarian AV, Sosa Y, Sonty S, Levy RM, Harden RN, Parrish TB, et al. Chronic back pain is associated with decreased prefrontal and thalamic gray matter density. J Neurosci . 2004;24(46):10410-10415. Fairbank J, Frost H, Wilson-MacDonald J, Yu LM, Barker K, Collins R; Spine Stabilisation Trial Group. Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: the MRC spine stabilisation trial. BMJ . 2005;330(7502):1233. Filler AG, Haynes J, Jordan SE, Prager J, Villablanca JP, Farahani K, et al. Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment. J Neurosurg Spine . 2005;2(2):99-115. Freeman BJ, Fraser RD, Cain CM, Hall DJ, Chapple DC. A randomized, double-blind, controlled trial: intradiscal electrothermal therapy versus placebo for the treatment...
I have always had a love-hate relationship with prednisone.
I don’t like to be on it. I was miserable when I was on it all the time, but not being on it, my pain significantly increased.
I was really stubborn, though, and when I was on prednisone on an “as needed” basis, I probably only took it once a month.
The last time I was at my rheumatologist’s, he suggested going back on steroids full time, but rather than putting me back on prednisone, he suggested that I try methylprednisolone.
He told me that while prednisone is the go-to, default steroid in the United States, methylprednisolone is the default in Europe.
You might think a steroid is a steroid , because that is sort of what I thought, too, but my experience suggests otherwise.
A cursory search of PubMed, using the search term “prednisone” reveals 43,591 results and using the search term “methylprednisolone” reveals...
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