DIAGNOSTIC AND THERAPEUTIC APPROACH TO LUMBOCHITALGIA

• DOI: https://doi.org/10.22533/at.ed.39325280810

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• Abstract: Lumbosciatalgia is pain in the lumbar spine that radiates to the hip, outer thigh, back of the leg and outer edge of the foot to the toes. It is due to an involvement at the level of L4-S3, which makes up the sciatic nerve, causing pain of great intensity and intermediate duration that can affect the quality of life. OBJECTIVE: To describe the latest updates on the diagnosis and treatment of lumbosciatica through a bibliographic search of high-impact scientific articles in order to know the correct management of this pathology in order to avoid complications in the lives of patients who suffer from them. METHODS AND MATERIALS: Descriptive, retrospective study obtained from bibliographic sources such as: PubMed, Google Scholar, Scielo, published in the last 5 years that contribute on the topic. RESULTS: 30 bibliographic reviews were listed, describing the definition, epidemiology, classification, risk factors and methods for diagnosis and treatment. CONCLUSION: Lumbosciatalgia is very prevalent in the population; it is one of the most common reasons for consultation in primary care. The diagnosis is based mainly on taking a correct history and physical examination; Imaging tests are not recommended. The treatment consists of general measures such as good posture, avoiding carrying weight, losing weight; as well as non-pharmacological treatment, which are massages, electrotherapy, acupuncture and heat therapy, accompanied by the medication of choice such as paracetamol or second-line NSAIDs.