20th Century: Expansion of Treatment Modalities and Medicines

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) The widespread use of NSAIDs, including aspirin, ibuprofen (introduced in the 1960s), and naproxen, marked a major advancement in managing pain from inflammation, a key component of sciatica. NSAIDs inhibit cyclooxygenase enzymes (COX-1 and COX-2), reducing the production of prostaglandins that sens

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Medieval and Renaissance Medicine

During the Middle Ages, medicine in Europe stagnated somewhat, but herbal remedies and physical therapies persisted. Herbal and Natural Remedies Herbs like willow bark, known for its salicin content (a precursor to aspirin), were commonly used for pain relief. Decoctions and poultices were applied to the lower back and leg areas to reduce inflamm

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Early History: Ancient Remedies and Theories

Ancient Egypt and Mesopotamia The earliest written records of back pain treatment come from Egyptian papyri dating back to around 1500 BCE. The Ebers Papyrus, one of the oldest medical documents, contains descriptions of back pain and recommended treatments including herbal poultices and salves made from myrrh, frankincense, and other resinous sub

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