Prognostic of Conservative Treatment in Lumbar Radiculopathy

Low back pain is a common condition, which affects millions of people around the world. While there are several treatment options available, conservative treatment has been widely used as an initial approach to managing these conditions. The objective of this article was to highlight the potential of conservative approaches in the treatment and prognosis of low back pain. The search on the Pubmed platform was performed using the following search terms: "lumbar radiculopathy", "low back pain AND Sciatic pain", "conservative treatment". Articles published between 2014 and 2024 in English and Portuguese were included. The inclusion criteria were: experimental studies that evaluated the relationship between these materials and health and the environment. On the Google Scholar platform, the same search descriptors were used as on previous platforms. After searching the two platforms, 17 articles that met the inclusion criteria were selected. A key approach in conservative treatment is patient education by providing information about the nature of the condition, pain management strategies, and the importance of maintaining physical activity. Physical activity plays a crucial role in conservative treatment. Therapeutic exercise programs, such as muscle strengthening, stretching, and low-impact aerobic exercise, have been widely recommended. These exercises aim to strengthen the core muscles, improve flexibility and stability of the spine, thereby reducing pain and improving physical function. In addition, within the physical therapy approach, manual therapies have demonstrated significant benefits in relieving pain and improving function in patients with low back pain. Other conservative approaches to Physical Therapy may include techniques such as ultrasound, electrotherapy, and spinal traction. These modalities aim to relieve pain, improve the functions of the affected tissues, as well as restore psychophysiological condition in multimodal treatment approaches. Conservative approaches have been largely supported by scientific evidence. Randomized controlled trials have consistently demonstrated the efficacy of conservative treatment, including therapeutic exercises and manual therapies, in relieving pain and improving function in patients with low back pain and low back pain.