{"id":1815,"date":"2025-06-13T16:23:23","date_gmt":"2025-06-13T14:23:23","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=1815"},"modified":"2025-06-13T16:23:23","modified_gmt":"2025-06-13T14:23:23","slug":"tratamentul-lombosciaticii","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/tratamentul-lombosciaticii\/","title":{"rendered":"Tratamentul lombosciaticii"},"content":{"rendered":"\n<h2>Ce include tratamentul lombosciaticii?<\/h2>\n<p>Tratamentul lombosciaticii depinde de cauzele subiacente \u0219i de severitatea afec\u021biunii. De cele mai multe ori, interven\u021bia este multidisciplinar\u0103 \u0219i personalizat\u0103 pe nevoile pacientului [1]. Astfel, planul de tratament poate include:<\/p>\n<ul>\n<li>Fiziokinetoterapie;<\/li>\n<li>Dietoterapie;<\/li>\n<li>Terapii complementare;<\/li>\n<li>Psihoterapie cognitiv-comportamental\u0103;<\/li>\n<li>Medica\u021bie alopat\u0103;<\/li>\n<li>Chirurgie.<\/li>\n<\/ul>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1816\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/tratamentul-lombosciaticii.jpg\" alt=\"\" width=\"700\" height=\"315\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/tratamentul-lombosciaticii.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/tratamentul-lombosciaticii-300x135.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/tratamentul-lombosciaticii-1024x461.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/tratamentul-lombosciaticii-768x346.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/tratamentul-lombosciaticii-1536x691.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/tratamentul-lombosciaticii-750x338.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/tratamentul-lombosciaticii-1140x513.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<h3>Fiziokinetoterapia<\/h3>\n<p><a href=\"https:\/\/roneuro.ro\/blog\/ce-este-kinetoterapia\/\">Fiziokinetoterapia<\/a> poate fi recomandat\u0103 \u00een tratamentul lombosciaticii determinat\u0103 de cauze structurale\/mecanice \u00een vederea \u00eent\u0103ririi mu\u0219chilor abdominali, men\u021binerea flexibilit\u0103\u021bii \u0219i for\u021bei articulare \u0219i a unei posturi corecte [2]. Deasemenea, sunt recomandatate ajust\u0103rile ergonomice, suport lombar, centuri de sus\u021binere sau perne pentru \u0219ezut, \u00een vederea amelior\u0103rii presiunii pelviene [3].<\/p>\n<h3>Dietoterapia<\/h3>\n<p><a href=\"https:\/\/www.roneuro.ro\/specialitati\/nutritie-si-dietetica.html\">Dietoterapia<\/a> este necesar\u0103 pentru a preveni caren\u021bele de <a href=\"https:\/\/roneuro.ro\/blog\/vitamina-b12\/\">vitamine B12<\/a>, D \u0219i E, gestionarea nivelului de glucoz\u0103 (la <a href=\"https:\/\/www.roneuro.ro\/specialitati\/diabet-si-boli-metabolice.html\">diabetici<\/a>), <a href=\"https:\/\/roneuro.ro\/blog\/legatura-dintre-alcool-si-dementa\/\">evitarea consumului de alcool<\/a> \u0219i schimbarea stilului de via\u021b\u0103 [4]. Dietoterapia este recomandat\u0103 \u0219i \u00een cazul obezit\u0103\u021bii.<\/p>\n<h3>Terapii complementare<\/h3>\n<p><a href=\"https:\/\/roneuro.ro\/blog\/terapii-alternative-in-gestionarea-depresiei\/\">Terapiile complementare<\/a> au rezultate foarte bune \u00een ameliorarea durerii, precum chiropractica (pentru probleme de aliniere vertebral\u0103 care cauzeaz\u0103 compresia nervilor [5]), <a href=\"https:\/\/www.roneuro.ro\/specialitati\/acupunctura.html\">acupunctur\u0103<\/a> (pentru gestionarea durerii cronice [6]), yoga \u0219i altele.<\/p>\n<h3>Psihoterapia<\/h3>\n<p><a href=\"https:\/\/www.roneuro.ro\/specialitati\/psihologie.html\"><strong>Psihoterapia cognitiv-comportamental\u0103<\/strong><\/a> \u0219i alte tehnici minte-corp (mindfulness, biofeedback, etc) contribuie la gestionarea durerii cronice [7].<\/p>\n<h3>Medica\u021bia alopat\u0103<\/h3>\n<p>Medica\u021bia alopat\u0103 este deseori recomandat\u0103, nu doar pentru reducerea durerii lombosciatice (relaxante musculare sau corticosteroizi), ci mai ales pentru tratarea cauzelor subadiacente precum boli inflamatorii \u0219i autoimune, infec\u021bii, mase tumorale [8]. Deasemenea, \u00een cazul anevrismelor pot fi recomdandate medicamente [9] pentru \u00eembun\u0103t\u0103\u021birea fluxului sanguin \u0219i prevenirea form\u0103rii cheagurilor (de exemplu, anticoagulante, vasodilatatoare) [10].<\/p>\n<h3>Chirurgia<\/h3>\n<p>Chirurgia este recomandat\u0103 \u00een cazurile severe sau agravante (de exemplu, pierderea controlului intestinal\/vezicii urinare, sl\u0103biciune semnificativ\u0103 a picioarelor) \u0219i urgen\u021be medicale precum fractura coloanei vertebrale, tumori, chisturi [11]. La nivelul coloanei vertebrale, exist\u0103 mai multe op\u021biuni chirurgicale, care pot fi alese \u00een func\u021bie de diagnostic [12] precum:<\/p>\n<ul>\n<li><strong>Discectomie<\/strong> (\u00eendep\u0103rtarea par\u021bial\u0103 sau total\u0103 a unui disc intervertebral herniat sau deteriorat);<\/li>\n<li><strong>Laminectomie<\/strong> (\u00eendep\u0103rtarea osului sau ligamentului care cauzeaz\u0103 stenoz\u0103 pentru a face loc r\u0103d\u0103cinilor nervoase);<\/li>\n<li><strong>Fuziune spinal\u0103<\/strong> (sau spondilolisteza, este necesar\u0103 pentru a stabiliza coloana cu ajutorul unui implant care se introduce \u00een spa\u021biul r\u0103mas liber dintre cele dou\u0103 vertebre);<\/li>\n<li><strong>Chirurgie de revizie<\/strong> (pentru \u00eendep\u0103rtarea \u021besutului cicatricial dac\u0103 cicatricea comprim\u0103 nervul).<\/li>\n<\/ul>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p><span style=\"font-weight: 400;\">Dac\u0103 ave\u021bi dureri de spate \u0219i crede\u021bi c\u0103 ar putea fi vorba de lombosciatic\u0103, dureri care apar \u00een timpul unei activit\u0103\u021bi sedentare, sau la efort prelungit, programa\u021bi-v\u0103 acum la un consult <\/span><span style=\"font-weight: 400;\">contact\u00e2nd recep\u021bia <strong>Institutului RoNeuro<\/strong> la num\u0103rul de telefon<\/span><b> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/b><span style=\"font-weight: 400;\">, <strong>luni \u0219i mar\u021bi \u00eentre orele 08:00 &#8211; 19:00<\/strong>, iar de <strong>miercuri p\u00e2n\u0103 vineri \u00eentre orele 08:00 &#8211; 18:00<\/strong>.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate.\u00a0<\/span><\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online neurologie<\/a><\/p>\n<p><span style=\"font-weight: 400;\">Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? Institutul RoNeuro ofer\u0103 \u0219i op\u021biunea de <\/span><b><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/b><\/p>\n<h2>Factori de risc pentru lombosciatic\u0103<\/h2>\n<p>Deoarece lombosciatica este caracterizat\u0103 prin durere de-a lungul nervului sciatic, care se extinde de la partea inferioar\u0103 a spatelui, prin \u0219olduri, fese \u0219i \u00een josul fiec\u0103rui picior, este necesar de a fi evita\u021bi \u0219i trata\u021bi factorii de risc ce pot cre\u0219te probabilitatea de a dezvolta lombosciatic\u0103 [13].<\/p>\n<p>Unul din <strong>factorii de risc cei mai importan\u021bi este stilul de via\u021b\u0103<\/strong>, precum obezitatea, via\u021ba sedentar\u0103, \u0219ezutul prelungit, postur\u0103 incorect\u0103, activit\u0103\u021bi care implic\u0103 mi\u0219c\u0103ri complexe de r\u0103sucire a corpului, \u0219ofatul prelungit [14].<\/p>\n<p>Al\u021bi factori de risc pot include anumite <strong>predispozi\u021bii genetice legate de afec\u021biuni ale spatelui, accidente, leziuni, lovituri<\/strong>, precum \u0219i fumatul [15] care contribuie la accelerarea afec\u021biunilor degenerative ale coloanei vertebrale.<\/p>\n<p><strong>Problemele psiho-emo\u021bionale<\/strong>, pot exacerba tensiunea muscular\u0103 m\u0103rind nivelul de percep\u021bie a durerii. La r\u00e2ndul ei, durerea persistent\u0103 de lombosciatic\u0103 amplific\u0103 stresul, anxietatea \u0219i depresia. Izolarea social\u0103 favorizeaz\u0103 niveluri reduse de activitate, put\u00e2nd limita interac\u021biunile sociale \u0219i diminua calitatea vie\u021bii [16].<\/p>\n<p><strong>Femeile mai pot experimenta dureri temporare de lombosciatic\u0103 \u00een timpul sarcinii<\/strong>, datorit\u0103 presiunii crescute asupra coloanei vertebrale \u00een timpul cre\u0219terii f\u0103tului \u0219i a modific\u0103rilor hormonale [17].<\/p>\n<p><strong>\u00cenaintarea \u00een v\u00e2rst\u0103 poate reprezenta un factor risc pentru lombosciatic\u0103<\/strong> deoarece se produce o uzur\u0103 natural\u0103 a coloanei vertebrale, care favorizeaz\u0103 apari\u021bia unor afec\u021biuni cronice precum hernia de disc, discopatia lombar\u0103, osteoartrita, diabetul \u0219i stenoza spinal\u0103 [18].<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1817\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/factorii-de-risc-lombosciatica.jpg\" alt=\"\" width=\"500\" height=\"522\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/factorii-de-risc-lombosciatica.jpg 1532w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/factorii-de-risc-lombosciatica-287x300.jpg 287w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/factorii-de-risc-lombosciatica-980x1024.jpg 980w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/factorii-de-risc-lombosciatica-768x802.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/factorii-de-risc-lombosciatica-1471x1536.jpg 1471w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/factorii-de-risc-lombosciatica-750x783.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/06\/factorii-de-risc-lombosciatica-1140x1191.jpg 1140w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<blockquote><p>Majoritatea factorilor de risc identifica\u021bi asocia\u021bi cu primele semne de lombosciatic\u0103\u00a0 modificabili, suger\u00e2nd poten\u021bialele beneficii ale preven\u021biei primare. \u00cen plus, ace\u0219ti factori de risc sunt asocia\u021bi \u0219i cu stiluri de via\u021b\u0103 nes\u0103n\u0103toase, care pot contribui concomitent la dezvoltarea lombosciaticii [19].<\/p><\/blockquote>\n<h2>Concluzii<\/h2>\n<p>Tratamentul lombosciaticii presupune recunoa\u0219terea \u0219i abordarea factorilor de risc, prin schimb\u0103ri ale stilului de via\u021b\u0103, interven\u021bie medical\u0103 multidisciplinar\u0103 \u0219i ergonomie adecvat\u0103 poate reduce severitatea simptomelor.<\/p>\n<p>\u00cen unele cazuri, formele u\u0219oare de sciatic\u0103 se amelioreaz\u0103 \u00een timp. Dac\u0103 sciatica nu este tratat\u0103, afec\u021biunea se poate agrava \u00een timp, duc\u00e2nd la poten\u021biale complica\u021bii. Severitatea rezultatelor depinde de cauza principal\u0103 \u0219i de durata irita\u021biei nervoase de la nivelul nervului sciatic.<\/p>\n<p>Este important ca planul de tratament s\u0103 \u00eenceap\u0103 c\u00e2t mai cur\u00e2nd posibil, deoarece promptitudinea interven\u021biei medicale poate avea un impact semnificativ asupra rezultatelor pe termen lung, evit\u00e2ndu-se apari\u021bia complica\u021biilor.<\/p>\n<h2>Referin\u021be<\/h2>\n<ol>\n<li>Koes BW, van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ. 2007 Jun 23;334(7607):1313-7. doi: 10.1136\/bmj.39223.428495.BE. Available at: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1895638\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1895638\/<\/a><\/li>\n<li>Ostelo RW. Physiotherapy management of sciatica. J Physiother. 2020 Apr;66(2):83-88. doi: 10.1016\/j.jphys.2020.03.005. Epub 2020 Apr 11. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32291226\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32291226\/<\/a><\/li>\n<li>Pradhan A, J M. Effects of Neurodynamics Along With Conventional Exercises on Sciatica Patients: A Single-Blinded Randomized Clinical Trial. Cureus. 2024 May 6;16(5):e59722. doi: 10.7759\/cureus.59722. Available at: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11151706\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11151706\/<\/a><\/li>\n<li>Fairag M, Kurdi R, Alkathiry A, Alghamdi N, Alshehri R, Alturkistany FO, Almutairi A, Mansory M, Alhamed M, Alzahrani A, Alhazmi A. Risk Factors, Prevention, and Primary and Secondary Management of Sciatica: An Updated Overview. Cureus. 2022 Nov 12;14(11):e31405. doi: 10.7759\/cureus.31405. Available at: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9743914\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9743914\/<\/a><\/li>\n<li>Cox JM, Shreiner S. Chiropractic manipulation in low back pain and sciatica: statistical data on the diagnosis, treatment and response of 576 consecutive cases. J Manipulative Physiol Ther. 1984 Mar;7(1):1-11. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/6232332\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/6232332\/<\/a><\/li>\n<li>Zhang Z, Hu T, Huang P, Yang M, Huang Z, Xia Y, Zhang X, Zhang X, Ni G. The efficacy and safety of acupuncture therapy for sciatica: A systematic review and meta-analysis of randomized controlled trails. Front Neurosci. 2023 Feb 9;17:1097830. doi: 10.3389\/fnins.2023.1097830. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36845439\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36845439\/<\/a><\/li>\n<li>Hasenbring M, Ulrich HW, Hartmann M, Soyka D. The efficacy of a risk factor-based cognitive behavioral intervention and electromyographic biofeedback in patients with acute sciatic pain. An attempt to prevent chronicity. Spine (Phila Pa 1976). 1999 Dec 1;24(23):2525-35. doi: 10.1097\/00007632-199912010-00015. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10626316\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/10626316\/<\/a><\/li>\n<li>National Guideline Centre (UK). Evidence review for pharmacological management of sciatica: Low back pain and sciatica in over 16s: assessment and management: Evidence review A. London: National Institute for Health and Care Excellence (NICE); 2020 Sep. (NICE Guideline, No. 59.). Available at: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562934\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562934\/<\/a><\/li>\n<li>Rasmussen-Barr E, Held U, Grooten WJ, Roelofs PD, Koes BW, van Tulder MW, Wertli MM. Non-steroidal anti-inflammatory drugs for sciatica. Cochrane Database Syst Rev. 2016 Oct 15;10(10):CD012382. doi: 10.1002\/14651858.CD012382. Available at: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6461200\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6461200\/<\/a><\/li>\n<li>Pinto RZ, Maher CG, Ferreira ML, Ferreira PH, Hancock M, Oliveira VC, McLachlan AJ, Koes B. Drugs for relief of pain in patients with sciatica: systematic review and meta-analysis. BMJ. 2012 Feb 13;344:e497. doi: 10.1136\/bmj.e497. PMID: 22331277; PMCID: PMC3278391. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22331277\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/22331277\/<\/a><\/li>\n<li>Schmid A B, Dove L, Ridgway L, Price C. Early surgery for sciatica BMJ 2023; 381 :p791 doi:10.1136\/bmj.p791. Available at: <a href=\"https:\/\/www.bmj.com\/content\/381\/bmj.p791\" target=\"_blank\" rel=\"noopener\">https:\/\/www.bmj.com\/content\/381\/bmj.p791<\/a><\/li>\n<li>Rahimi-Movaghar V, Rasouli MR, Vaccaro AR. Comparing surgical treatments for sciatica. JAMA. 2009 Nov 25;302(20):2202-3; author reply 2203. doi: 10.1001\/jama.2009.1722. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19934417\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/19934417\/<\/a><\/li>\n<li>Shiri R, Falah-Hassani K, Heli\u00f6vaara M, Solovieva S, Amiri S, Lallukka T, Burdorf A, Husgafvel-Pursiainen K, Viikari-Juntura E. Risk Factors for Low Back Pain: A Population-Based Longitudinal Study. Arthritis Care Res (Hoboken). 2019 Feb;71(2):290-299. doi: 10.1002\/acr.23710. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30044543\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30044543\/<\/a><\/li>\n<li>Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Varonen H, Kalso E, Ukkola O, Viikari-Juntura E. Cardiovascular and lifestyle risk factors in lumbar radicular pain or clinically defined sciatica: a systematic review. Eur Spine J. 2007 Dec;16(12):2043-54. doi: 10.1007\/s00586-007-0362-6. Epub 2007 May 25. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17525856\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/17525856\/<\/a><\/li>\n<li>Shiri R, Falah-Hassani K. The Effect of Smoking on the Risk of Sciatica: A Meta-analysis. Am J Med. 2016 Jan;129(1):64-73.e20. doi: 10.1016\/j.amjmed.2015.07.041. Epub 2015 Sep 25. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26403480\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26403480\/<\/a><\/li>\n<li>Pietri-Taleb F, Riihim\u00e4ki H, Viikari-Juntura E, Lindstr\u00f6m K, Moneta GB. The role of psychological distress and personality in the incidence of sciatic pain among working men. Am J Public Health. 1995 Apr;85(4):541-5. doi: 10.2105\/ajph.85.4.541. Available at: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1615112\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1615112\/<\/a><\/li>\n<li>Katonis P, Kampouroglou A, Aggelopoulos A, Kakavelakis K, Lykoudis S, Makrigiannakis A, Alpantaki K. Pregnancy-related low back pain. Hippokratia. 2011 Jul;15(3):205-10. Available at: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3306025\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3306025\/<\/a><\/li>\n<li>Wong AYL, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis Spinal Disord. 2017 Apr 18;12:14. doi: 10.1186\/s13013-017-0121-3. Available at: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5395891\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5395891\/<\/a><\/li>\n<li>Cook CE, Taylor J, Wright A, Milosavljevic S, Goode A, Whitford M. Risk factors for first time incidence sciatica: a systematic review. Physiother Res Int. 2014 Jun;19(2):65-78. doi: 10.1002\/pri.1572. Epub 2013 Dec 11. Available at: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24327326\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/24327326\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Ce include tratamentul lombosciaticii? Tratamentul lombosciaticii depinde de cauzele subiacente \u0219i de severitatea afec\u021biunii. De cele mai multe ori, interven\u021bia este multidisciplinar\u0103 \u0219i personalizat\u0103 pe nevoile pacientului [1]. Astfel, planul de tratament poate include: Fiziokinetoterapie; Dietoterapie; Terapii complementare; Psihoterapie cognitiv-comportamental\u0103; Medica\u021bie alopat\u0103; Chirurgie. Fiziokinetoterapia Fiziokinetoterapia poate fi recomandat\u0103 \u00een tratamentul lombosciaticii determinat\u0103 de cauze structurale\/mecanice [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1819,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"subtitle":"","format":"standard","override":[{"template":"6","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","post_calculate_word_method":"str_word_count","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_popup_post":"1","number_popup_post":"3","show_post_related":"1","show_inline_post_related":"0"}],"image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post_position":"meta","trending_post_label":"Trending","sponsored_post_label":"Sponsored by","disable_ad":"0"},"jnews_primary_category":[],"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[6,11],"tags":[],"class_list":["post-1815","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie","category-kinetoterapie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1815","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1815"}],"version-history":[{"count":1,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1815\/revisions"}],"predecessor-version":[{"id":1820,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1815\/revisions\/1820"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1819"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1815"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}